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General NPI Number Information
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NPI Number | 1508887571
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Entity Type | Organization
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Legal Business Name | MARKS FAMILY PHARMACY LLC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 205 E 3RD AVE
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City | ONEIDA
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State | TN
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Zip | 37841-2710
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Country | US
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Telephone | 423-569-7800
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Fax | 423-569-7801
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Provider Business Mailing Address
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Address Line | PO BOX 5145
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City | ONEIDA
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State | TN
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Zip | 37841-5145
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Country | US
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Telephone | 423-569-7800
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Fax | 423-569-7801
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Authorized Official
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Title or Position | CHIEF OFFICER
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Name | MARK BYRD
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Credential |
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Telephone | 432-569-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 3915
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License Number State | TN
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