Provider Demographics
NPI:1659690899
Name:MCPARTLIN, MARLENE (RPH)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:
Last Name:MCPARTLIN
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 1:100 DERBY ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4210
Mailing Address - Country:US
Mailing Address - Phone:781-749-8730
Mailing Address - Fax:
Practice Address - Street 1:100 DERBY ST
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4210
Practice Address - Country:US
Practice Address - Phone:781-749-8730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist