Provider Demographics
NPI:1437353893
Name:DURHAM, MARCIA L (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:L
Last Name:DURHAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:MARCIA
Other - Middle Name:L
Other - Last Name:CAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8266 GARNET ST
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-9115
Mailing Address - Country:US
Mailing Address - Phone:907-230-3501
Mailing Address - Fax:907-463-6658
Practice Address - Street 1:1200 SALMON CREEK LANE
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801
Practice Address - Country:US
Practice Address - Phone:907-463-4031
Practice Address - Fax:907-463-6658
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1453183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist