Provider Demographics
NPI:1023341401
Name:MARECHAL, CLAUDIA (RPH)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:MARECHAL
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 1:2703 MESA LINDA DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1119
Mailing Address - Country:US
Mailing Address - Phone:505-259-7872
Mailing Address - Fax:
Practice Address - Street 1:7850 ENCHANTED HILLS BLVD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-8623
Practice Address - Country:US
Practice Address - Phone:505-771-2777
Practice Address - Fax:505-771-2772
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00006344183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist