Provider Demographics
NPI:1063291565
Name:FUTRELL, MARLA STYONS (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:STYONS
Last Name:FUTRELL
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 CURRITUCK DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5538
Mailing Address - Country:US
Mailing Address - Phone:919-608-6183
Mailing Address - Fax:
Practice Address - Street 1:1815 GARNER STATION BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-3644
Practice Address - Country:US
Practice Address - Phone:919-608-3176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist