Willingham, Marcus Allen

Willingham, Marcus Allen is an individual health care provider with primary practice located at 554 W Baseline Rd , Mesa AZ 85210-6019. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Willingham, Marcus Allen can be contacted via phone (480) 969-6234.

Contact Information

Primary practice address
554 W Baseline Rd Mesa AZ 85210-6019
Phone: (480) 969-6234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X S025534 Arizona
Pharmacy Service Providers / Pharmacist 183500000X S025534 Arizona

Profile Details

NPI number 1225792989
LBN Legal business name Willingham, Marcus Allen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2021
Last updated Oct 28th, 2021 - about 5 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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