Provider Demographics
NPI:1659606556
Name:MARSHBURN, BRAD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:
Last Name:MARSHBURN
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 1:815 OBERLIN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-1300
Mailing Address - Country:US
Mailing Address - Phone:919-322-4726
Mailing Address - Fax:919-322-4728
Practice Address - Street 1:815 OBERLIN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1300
Practice Address - Country:US
Practice Address - Phone:919-322-4726
Practice Address - Fax:919-322-4728
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist