Provider Demographics
NPI:1821227208
Name:ABERNETHY-PAGE, MARLENA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MARLENA
Middle Name:
Last Name:ABERNETHY-PAGE
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 1:625 HARPER AVE SW
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-5250
Mailing Address - Country:US
Mailing Address - Phone:828-758-8932
Mailing Address - Fax:828-754-9225
Practice Address - Street 1:625 HARPER AVE SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5250
Practice Address - Country:US
Practice Address - Phone:828-758-8932
Practice Address - Fax:828-754-9225
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20312183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist