Provider Demographics
NPI:1790027431
Name:MARSHALL, REBECCA CAUBLE (RPH)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:CAUBLE
Last Name:MARSHALL
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 1:3 PUBLIC SQ
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IN
Mailing Address - Zip Code:47167-2050
Mailing Address - Country:US
Mailing Address - Phone:812-883-4500
Mailing Address - Fax:812-883-1440
Practice Address - Street 1:#3 PUBLIC SQUARE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:IN
Practice Address - Zip Code:47167-9430
Practice Address - Country:US
Practice Address - Phone:812-883-4500
Practice Address - Fax:812-883-1440
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26013065A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist