Provider Demographics
NPI:1497077671
Name:MARZULA, KIM D (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KIM
Middle Name:D
Last Name:MARZULA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 ERICSSON DR
Mailing Address - Street 2:SUITE 100-ACCREDO
Mailing Address - City:WARRENDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15086-6501
Mailing Address - Country:US
Mailing Address - Phone:866-890-3395
Mailing Address - Fax:800-352-6605
Practice Address - Street 1:3000 ERICSSON DR
Practice Address - Street 2:SUITE 100-ACCREDO
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-6501
Practice Address - Country:US
Practice Address - Phone:866-890-3395
Practice Address - Fax:800-352-6605
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036622L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist