Provider Demographics
NPI:1427366764
Name:MARSHALL, RUPEL EMMANUEL JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RUPEL
Middle Name:EMMANUEL
Last Name:MARSHALL
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 BRASSIE LN
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60484-2775
Mailing Address - Country:US
Mailing Address - Phone:630-936-6050
Mailing Address - Fax:
Practice Address - Street 1:437 BRASSIE LN
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:IL
Practice Address - Zip Code:60484-2775
Practice Address - Country:US
Practice Address - Phone:630-936-6050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051291182183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist