Provider Demographics
NPI:1639459639
Name:PRICE, MARQUITA SEPTEMBER (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARQUITA
Middle Name:SEPTEMBER
Last Name:PRICE
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 1:9019 SILENT HILLS LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-5180
Mailing Address - Country:US
Mailing Address - Phone:281-762-7738
Mailing Address - Fax:
Practice Address - Street 1:9019 SILENT HILLS LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-5180
Practice Address - Country:US
Practice Address - Phone:281-762-7738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35944183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist