Provider Demographics
NPI:1851789937
Name:HATCHER, MARISSA (PHARM D)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:HATCHER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 PIEDMONT AVE NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2478
Mailing Address - Country:US
Mailing Address - Phone:404-685-9665
Mailing Address - Fax:404-347-9564
Practice Address - Street 1:595 PIEDMONT AVE NE
Practice Address - Street 2:SUITE 100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2478
Practice Address - Country:US
Practice Address - Phone:404-685-9665
Practice Address - Fax:404-347-9564
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-25
Last Update Date:2014-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH027833183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist