Provider Demographics
NPI:1891384764
Name:ENGLE, MARIANNA JOY (RPH)
Entity Type:Individual
Prefix:
First Name:MARIANNA
Middle Name:JOY
Last Name:ENGLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MARIANNA
Other - Middle Name:A
Other - Last Name:GUIRGIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:16010 SAVORY CIR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7724
Mailing Address - Country:US
Mailing Address - Phone:719-358-1505
Mailing Address - Fax:
Practice Address - Street 1:14 E ALLEN ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-7840
Practice Address - Country:US
Practice Address - Phone:303-663-6858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18971183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist