Marchetti, Debra K.

Marchetti, Debra K. is an individual health care provider with primary practice located at 1015 E Young St Ste B , Pocatello ID 83201-5237. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Marchetti, Debra K. can be contacted via phone (208) 232-0049.

Contact Information

Primary practice address
1015 E Young St Ste B Pocatello ID 83201-5237
Phone: (208) 232-0049
Fax: (208) 232-3963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P5449 Idaho

Profile Details

NPI number 1154533636
LBN Legal business name Marchetti, Debra K.
Credentials PHARM D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Apr 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154533636 NPPES
Idaho MEDICAID TPID015288

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