Provider Demographics
NPI:1679189013
Name:MARSH, DEBORAH YVONNE (RPH)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:YVONNE
Last Name:MARSH
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 1:18 MIKE ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:26181-9337
Mailing Address - Country:US
Mailing Address - Phone:304-488-0066
Mailing Address - Fax:
Practice Address - Street 1:4418 EMERSON AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26104-1216
Practice Address - Country:US
Practice Address - Phone:304-485-3245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP4825183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist