Whalio Doctors

NPI 1255830303

Darius Fitzgerald Marra, PHARMD

Practitioner Pharmacist Jefferson City, TN

Practice location

Address
630 E Broadway Blvd, Jefferson City, TN 37760-4900
Phone
(865) 475-3736
Fax
(865) 475-3954

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 7953 (TN)

Registry record

NPI
1255830303
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Feb 2018
Record last updated
5 Feb 2018

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.