Provider Demographics
NPI:1417488594
Name:MARCH, MARY MULLIS (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:MULLIS
Last Name:MARCH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:101 TANGLEWOOD PKWY N
Mailing Address - Street 2:WALMART PHARMACY
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-7788
Mailing Address - Country:US
Mailing Address - Phone:252-338-2354
Mailing Address - Fax:252-338-1927
Practice Address - Street 1:101 TANGLEWOOD PKWY N
Practice Address - Street 2:WALMART PHARMACY
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-7788
Practice Address - Country:US
Practice Address - Phone:252-338-2354
Practice Address - Fax:252-338-1927
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC07828183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist