Provider Demographics
NPI:1841574548
Name:SIMS, MARSHA ROCHELLE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:ROCHELLE
Last Name:SIMS
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 1:220 FOOTHILLS MALL DR
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-5516
Mailing Address - Country:US
Mailing Address - Phone:865-379-7899
Mailing Address - Fax:865-379-9287
Practice Address - Street 1:220 FOOTHILLS MALL DR
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-5516
Practice Address - Country:US
Practice Address - Phone:865-379-7899
Practice Address - Fax:865-379-9287
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5578183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist