Provider Demographics
NPI:1265627640
Name:BUFTON, MARILYN G (PHARMD , BCPS)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:G
Last Name:BUFTON
Suffix:
Gender:F
Credentials:PHARMD , BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 WILDERNESS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-6901
Mailing Address - Country:US
Mailing Address - Phone:360-738-8089
Mailing Address - Fax:360-715-1098
Practice Address - Street 1:2107 WILDERNESS RIDGE RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-6901
Practice Address - Country:US
Practice Address - Phone:360-788-6087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000189091835P1200X
OH03-3-118761835P1200X
CA307331835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy