Mark G Corrales is a Pharmacist in Lawton, Oklahoma. Mark G Corrales practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mark G Corrales is 1639224165. The last update date is 2007-07-08.
Mark G Corrales's current location address is 1810 W Gore Blvd, Lawton, Oklahoma. You can contact this provider via phone number 5803554540 and fax number 5802482012. The mailing address for Mark G Corrales is 1810 W Gore Blvd, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark G Corrales |
|---|---|
| Address | 1810 W Gore Blvd, Lawton, Oklahoma |
| Phone Number | 5803554540 |
| Fax Number | 5802482012 |
| Sole Proprietor | N |
| Credentials | D.PH. |
NPI Number Detail
| NPI Number | 1639224165 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1810 W Gore Blvd |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 735013615 |
| Phone Number | 5803554540 |
| Fax Number | 5802482012 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 11511 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11511 | OK | PHARMACIST LICENSE NUMBER |
Post Comment/ Review Below
What is the Mark G Corrales's unique identification number?
The Mark G Corrales has been assigned the NPI (National Provider Identifier) Number 1639224165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mark G Corrales is physically located?
The Mark G Corrales is situated at the following address: 1810 W Gore Blvd, Lawton, OK 735013615.
What is Mark G Corrales's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark G Corrales is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639224165 to Mark G Corrales?
The Mark G Corrales received its 1639224165 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the Mark G Corrales's information last updated?
The Mark G Corrales's information was last updated on 2007-07-08.