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NPI Code Detail

MEDICARE: DR. MARK W TODD PHARM.D.

MEDICARE: DR. MARK W TODD 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
1183500000XPharmacist10284AL

General Provider Information

NPI Number : 1326037136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK W TODD PHARM.D.
Provider Business Mailing Address
First Line : 3316 AFTON PL
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-4213
Country : US
Telephone Number : 205-980-5136
Fax Number : 205-934-7891
Provider Business Practice Location Address
First Line : 619 19TH ST S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35249-1900
Country : US
Telephone Number : 205-934-7890
Fax Number : 205-934-7891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 07/08/2007

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