NPI 1013229202

Fernando Maravilla Marquez

Practitioner Pharmacist Chattanooga, TN

Practice location

Address: 3605 Brainerd Rd, Chattanooga, TN 37411-3602
Phone: (423) 622-7520

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 20981 (TN)

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Registry record

NPI: 1013229202
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2010
Record last updated: 5 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.