Provider Demographics
NPI:1790527091
Name:MARSHALL, TAMMIR RASHAUNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAMMIR
Middle Name:RASHAUNE
Last Name:MARSHALL
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 1:24800 CHENAL PKWY APT 313
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4510
Mailing Address - Country:US
Mailing Address - Phone:318-557-5626
Mailing Address - Fax:
Practice Address - Street 1:1900 N POLK ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-4634
Practice Address - Country:US
Practice Address - Phone:501-663-3257
Practice Address - Fax:501-663-3426
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD16902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist