Provider Demographics
NPI:1912127887
Name:MARSH, T.DONALD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:T.DONALD
Middle Name:
Last Name:MARSH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14300 OLD BOND ST
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-4404
Mailing Address - Country:US
Mailing Address - Phone:804-240-0218
Mailing Address - Fax:804-739-0845
Practice Address - Street 1:14300 OLD BOND ST
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-4404
Practice Address - Country:US
Practice Address - Phone:804-240-0218
Practice Address - Fax:804-739-0845
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202005655183500000X
NC08885183500000X
NJ28RI01474600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist