Mark Moran in Brockport - Pharmacist

Mark Moran - NPI 1093997397

Mark Moran is a Pharmacist in Brockport, New York. Mark Moran practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mark Moran is 1093997397. The last update date is 2010-02-26.

Mark Moran's current location address is 6515 Brockport Spencerport Rd, Brockport, New York. You can contact this provider via phone number 5856373933. The mailing address for Mark Moran is 6515 Brockport Spencerport Rd, Brockport, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Moran
Address 6515 Brockport Spencerport Rd, Brockport, New York
Phone Number 5856373933
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1093997397
Provider Enumeration Date 2007-11-29
Last Updated Date 2010-02-26

Provider Mailing Address Detail

Address 6515 Brockport Spencerport Rd
City Brockport
State New York (NY)
Post Code 144202666
Phone Number 5856373933
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 41916
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 m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
446800 NY --

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FAQs about Mark Moran

What is the Mark Moran's 1093997397?

The Mark Moran's NPI (National Provider Identifier) Number is 1093997397. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mark Moran's facilities are geographically located?

The facilities of Mark Moran are physically situated at the following location: 6515 Brockport Spencerport Rd, Brockport, NY, 144202666.

What is the Mark Moran's area of specialization and corresponding taxonomy classification?

The Mark Moran's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.

When did Mark Moran receive its 1093997397 assignment?

The Mark Moran was assigned its 1093997397 on 2007-11-29, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Mark Moran last refreshed?

The information related to the Mark Moran, including its address, specialty, and other relevant details, was last updated on 2010-02-26.

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