Provider Demographics
NPI:1700231917
Name:FURMAN, MARISSA CAROLYN (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:MARISSA
Middle Name:CAROLYN
Last Name:FURMAN
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4127 S FOUR MILE RUN DR
Mailing Address - Street 2:UNIT 102
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-3928
Mailing Address - Country:US
Mailing Address - Phone:678-772-4509
Mailing Address - Fax:
Practice Address - Street 1:4127 S FOUR MILE RUN DR
Practice Address - Street 2:UNIT 102
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-3928
Practice Address - Country:US
Practice Address - Phone:678-772-4509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208639183500000X
DCPH100001649183500000X
GARPH024368183500000X
DC31203151835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy