Provider Demographics
NPI:1609104157
Name:GRIFFITH, MARCUS D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:D
Last Name:GRIFFITH
Suffix:
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 1:215 W 20TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2511
Mailing Address - Country:US
Mailing Address - Phone:713-861-2161
Mailing Address - Fax:713-861-9309
Practice Address - Street 1:215 W 20TH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2511
Practice Address - Country:US
Practice Address - Phone:713-861-2161
Practice Address - Fax:713-861-9309
Is Sole Proprietor?:No
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10875183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist