Roberta Elise Marriott
Pharmacy Technician in Mount Carmel, IL. Individual provider (NPI-1).
NPI number1104960046
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104960046
- Entity type
- Individual (NPI-1)
- Name
- Ms. Roberta Elise Marriott
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 049128361 | IL | Yes |
Practice location
1325 W 9th StMount Carmel, IL 62863-2906
Phone 618-263-4543 · Fax 618-262-5294
Mailing address
Po Box 416Mount Carmel, IL 62863-0416
Phone 618-240-1262
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