Provider Demographics
NPI:1154925329
Name:MARSTON, ARTHUR WENDELL (PHARMACIST)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:WENDELL
Last Name:MARSTON
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 QUEEN ANNE RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02633-1859
Mailing Address - Country:US
Mailing Address - Phone:508-945-4340
Mailing Address - Fax:508-945-0521
Practice Address - Street 1:12 QUEEN ANNE RD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02633-1859
Practice Address - Country:US
Practice Address - Phone:508-945-4340
Practice Address - Fax:508-945-0521
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist