Provider Demographics
NPI:1831472984
Name:STRICKLAND, MARION JASPER JR (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:JASPER
Last Name:STRICKLAND
Suffix:JR
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 KENSINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:GUYTON
Mailing Address - State:GA
Mailing Address - Zip Code:31312-6291
Mailing Address - Country:US
Mailing Address - Phone:912-658-9569
Mailing Address - Fax:
Practice Address - Street 1:2200 W CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-4444
Practice Address - Country:US
Practice Address - Phone:910-892-5140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15785183500000X
GARPH023440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist