Provider Demographics
NPI:1821395948
Name:FRAZIER, MARSHA (RPH)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:FRAZIER
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 1:740 SPRINGDALE DR
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-2172
Mailing Address - Country:US
Mailing Address - Phone:864-415-5470
Mailing Address - Fax:
Practice Address - Street 1:1751 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-2230
Practice Address - Country:US
Practice Address - Phone:864-573-5313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC007980183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist