Provider Demographics
NPI:1982217576
Name:SANCHES, MARISSA LAUYANS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARISSA
Middle Name:LAUYANS
Last Name:SANCHES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MULLINS
Mailing Address - State:SC
Mailing Address - Zip Code:29574-1504
Mailing Address - Country:US
Mailing Address - Phone:843-331-7775
Mailing Address - Fax:
Practice Address - Street 1:1250 BENNETTSVILLE SQ
Practice Address - Street 2:HWY 9 W
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-6275
Practice Address - Country:US
Practice Address - Phone:843-479-0029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS61240183500000X
SC42583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist