Provider Demographics
NPI:1518271683
Name:LIMON, MARLENA ELIZABETH (PHARMD, RPH)
Entity type:Individual
Prefix:MRS
First Name:MARLENA
Middle Name:ELIZABETH
Last Name:LIMON
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3041 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-1164
Mailing Address - Country:US
Mailing Address - Phone:575-647-8878
Mailing Address - Fax:575-647-8252
Practice Address - Street 1:3041 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-1164
Practice Address - Country:US
Practice Address - Phone:575-647-8878
Practice Address - Fax:575-647-8252
Is Sole Proprietor?:No
Enumeration Date:2010-08-01
Last Update Date:2013-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42892183500000X
NMRP00007250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist