Provider Demographics
NPI:1730459926
Name:METCALFE, MARIE A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:A
Last Name:METCALFE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 TIDMORE BEND RD
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-9010
Mailing Address - Country:US
Mailing Address - Phone:256-438-5011
Mailing Address - Fax:
Practice Address - Street 1:107 E MEIGHAN BLVD
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1044
Practice Address - Country:US
Practice Address - Phone:256-547-4719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16913183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist