Provider Demographics
NPI:1962719997
Name:TORCH, MARILYN E (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:MARILYN
Middle Name:E
Last Name:TORCH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 BEECH ST APT B
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-1302
Mailing Address - Country:US
Mailing Address - Phone:570-878-4484
Mailing Address - Fax:
Practice Address - Street 1:2817 SHORE DRIVE
Practice Address - Street 2:RITE AID PHARMACY #3902
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451
Practice Address - Country:US
Practice Address - Phone:757-496-9636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202209282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist