Provider Demographics
NPI:1285848754
Name:DUNCAN, MARCIA J (RPH)
Entity type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:J
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-6711
Mailing Address - Country:US
Mailing Address - Phone:507-456-8563
Mailing Address - Fax:
Practice Address - Street 1:410 S RIVERFRONT DR
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3773
Practice Address - Country:US
Practice Address - Phone:507-345-5091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN113413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist