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NPI Code Detail

MEDICARE: MARK ANTHONY AURIT R.PH

MEDICARE: MARK ANTHONY AURIT R.PH
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
1183500000XPharmacist3383ND

General Provider Information

NPI Number : 1861615833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ANTHONY AURIT R.PH
Provider Business Mailing Address
First Line : PO BOX 994
Second Line :
City : BISMARCK
State : ND
Zip : 58502-0994
Country : US
Telephone Number : 701-224-9521
Fax Number :
Provider Business Practice Location Address
First Line : 3101 N 11TH ST
Second Line : SUITE #2
City : BISMARCK
State : ND
Zip : 58503-0594
Country : US
Telephone Number : 701-224-9521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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