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NPI Code Detail

MEDICARE: DR. MARK THOMAS SAWKIN PHARM.D.

MEDICARE: DR. MARK THOMAS SAWKIN PHARM.D.
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist2010032104MO
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1-15549KS

General Provider Information

NPI Number : 1215200746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK THOMAS SAWKIN PHARM.D.
Provider Business Mailing Address
First Line : 3515 BROADWAY ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2537
Country : US
Telephone Number : 816-777-2721
Fax Number :
Provider Business Practice Location Address
First Line : 3515 BROADWAY ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2537
Country : US
Telephone Number : 816-777-2721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2012
Last Update Date : 03/13/2012

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