Provider Demographics
NPI:1740014893
Name:SALVADOR, MARILYN L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:L
Last Name:SALVADOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:L
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1056 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2924
Mailing Address - Country:US
Mailing Address - Phone:717-261-2574
Mailing Address - Fax:
Practice Address - Street 1:1056 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2924
Practice Address - Country:US
Practice Address - Phone:717-261-2574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPI124743183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician