Provider Demographics
NPI:1932430204
Name:MARLI, ROBERT J (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:MARLI
Suffix:
Gender:M
Credentials:RPH
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Mailing Address - Street 1:10887 E PEAK VIEW RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-4531
Mailing Address - Country:US
Mailing Address - Phone:480-585-8368
Mailing Address - Fax:580-515-2808
Practice Address - Street 1:10929 E DYNAMITE BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85262-8045
Practice Address - Country:US
Practice Address - Phone:480-538-9313
Practice Address - Fax:480-538-9352
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZS006588183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist