| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARIKO THEL | 1457978595 | 2020-07-05 |
Mariko Thel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1457978595. Registration indicates Mariko Thel is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Mariko Thel PHARMD |
| Practice Office Address | 1030 JEFFERSON AVE MEMPHIS, TN US |
| Practice Office Telephone | 9015238990 |
| Mailing Address | 65 N ARCADIAN CIR APT 303 MEMPHIS, TN 381036906 US |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 44198
TN |