Provider Demographics
NPI:1205905205
Name:MARRA, DARIN I (RPH)
Entity type:Individual
Prefix:MR
First Name:DARIN
Middle Name:
Last Name:MARRA
Suffix:I
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WALTER PL
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-3032
Mailing Address - Country:US
Mailing Address - Phone:201-866-5478
Mailing Address - Fax:
Practice Address - Street 1:7 WALTER PL
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-3032
Practice Address - Country:US
Practice Address - Phone:201-866-5478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02150300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist