Provider Demographics
NPI:1467597211
Name:POOLE, MARSHA KIMBERLEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:KIMBERLEY
Last Name:POOLE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 89TH ST SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-3334
Mailing Address - Country:US
Mailing Address - Phone:580-732-0330
Mailing Address - Fax:866-431-1898
Practice Address - Street 1:805 89TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-3334
Practice Address - Country:US
Practice Address - Phone:580-732-0330
Practice Address - Fax:866-431-1898
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1307183500000X
TX35167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist