Provider Demographics
NPI:1366727158
Name:CODLING, MARCIA D (MSM, RPH)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:D
Last Name:CODLING
Suffix:
Gender:F
Credentials:MSM, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 PLANTATION ST #107
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:646-621-4615
Mailing Address - Fax:
Practice Address - Street 1:664 MAIN STREET
Practice Address - Street 2:COMPARE QUALITY PHARMACY
Practice Address - City:WORCEATER
Practice Address - State:MA
Practice Address - Zip Code:01610
Practice Address - Country:US
Practice Address - Phone:508-755-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH17404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist