Mitcham, Marla Marie
Mitcham, Marla Marie is an individual health care provider with primary practice located at 100 Myrtle Blvd. Pharmacy Bldg. 15 Room G12, Gracewood GA 30812. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mitcham, Marla Marie can be contacted via phone (706) 790-2496.Contact Information
Primary practice address
100 Myrtle Blvd. Pharmacy Bldg. 15 Room G12
Gracewood GA 30812
Phone: (706) 790-2496
Fax: (706) 790-2340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH029883 | Georgia |
Profile Details
| NPI number | 1043822067 |
|---|---|
| LBN Legal business name | Mitcham, Marla Marie |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2020 |
| Last updated | Aug 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043822067 | NPPES |
| Georgia | Other | RPH029883 | PHARMACIST LICENSE |
Popular Providers
-
Kucela, Cynthia Bass
100 Myrtle Blvd East Central Regional Hospital Dept Of Pharmacy, Gracewood GA 30812 -
Williams, Carolyn Kleeman
5353 Reynolds St , Savannah GA 31405-6015 -
Rutherford, Gary Robert
2865 W Broad St , Columbus OH 43204-2643 -
Pin, Sopheap
100 Myrtle Blvd Dept Of Pharmacy, Gracewood GA 30812 -
Hull, Melissa Ann
1145 Broadway , Seattle WA 98122-4201 -
Carper, Michael F
120 E Harris Ave , San Angelo TX 76903-5904 -
Swiatek, Sarah R.
5001 Taylor Rd , Punta Gorda FL 33950-4722 -
Rodriguez, Matthew John
1700 Cerrillos Rd , Santa Fe NM 87505-3554