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NPI Code Detail

MEDICARE: MR. MARK DONALD RESCHKE RPH

MEDICARE:  MR. MARK DONALD RESCHKE  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302024808MI

General Provider Information

NPI Number : 1174697098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK DONALD RESCHKE RPH
Provider Business Mailing Address
First Line : 29200 SCHOOLCRAFT RD
Second Line :
City : LIVONIA
State : MI
Zip : 48150
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 29200 SCHOOLCRAFT RD
Second Line :
City : LIVONIA
State : MI
Zip : 48150-2228
Country : US
Telephone Number : 734-523-1710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 09/17/2007

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Directions to “ MR. MARK DONALD RESCHKE RPH” Practice Location

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