Provider Demographics
NPI:1740656552
Name:STANALAND, MARCUS DANIEL II (PHARMD, MSCR, MBA)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:DANIEL
Last Name:STANALAND
Suffix:II
Gender:M
Credentials:PHARMD, MSCR, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 LAKE GLEN DR
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-6946
Mailing Address - Country:US
Mailing Address - Phone:910-733-2624
Mailing Address - Fax:
Practice Address - Street 1:2286 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-8972
Practice Address - Country:US
Practice Address - Phone:919-777-5983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-15
Last Update Date:2015-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24547183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist