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DR. MARLA MARIE MITCHAM PHARMD
NPI 1043822067
Pharmacist in Gracewood, GA

Active since August 20, 2020
100 MYRTLE BLVD., PHARMACY BLDG. 15 ROOM G12, GRACEWOOD, GA 30812(706) 790-2496(706) 790-2340 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marla Marie Mitcham Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARLA MARIE MITCHAM PHARMD (NPI 1043822067) is an individual pharmacist in Gracewood, Georgia, licensed in Georgia (RPH029883) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1043822067
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. MARLA MARIE MITCHAMCredential: PHARMD
Location Address100 MYRTLE BLVD., PHARMACY BLDG. 15 ROOM G12Gracewood, GA 30812
Mailing Address100 Myrtle Blvd., Pharmacy Bldg. 15 Room G12Gracewood, GA 30812 · (706) 790-2496 · Fax (706) 790-2340
Phone(706) 790-2496
Fax(706) 790-2340
Sole ProprietorNo
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1043822067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · RPH029883
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
100 MYRTLE BLVD., Gracewood, GA 30812
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Other Identifiers 1

OtherRPH029883GA · Pharmacist License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HOLLI E PENDER PHARMD.
Pharmacist
100 MYRTLE BLVD.
GRACEWOOD, GA 30812
Richmond County (706) 790-2496

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marla Mitcham's NPI number?

The NPI number for Marla Mitcham is 1043822067. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Marla Mitcham located?

Marla Mitcham practices at 100 Myrtle Blvd. Pharmacy Bldg. 15 Room G12, Gracewood, GA 30812. The listed phone number is (706) 790-2496.

What is Marla Mitcham's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Marla Mitcham was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.