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NPI Code Detail

MEDICARE: DR. MARK CROSKEY PHARMD

MEDICARE: DR. MARK CROSKEY PHARMD
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
1183500000XPharmacistRPH025116GA

General Provider Information

NPI Number : 1477834208
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK CROSKEY PHARMD
Provider Business Mailing Address
First Line : 2270 US HIGHWAY 17
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-3669
Country : US
Telephone Number : 912-459-0880
Fax Number : 912-459-0886
Provider Business Practice Location Address
First Line : 2270 US HIGHWAY 17
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-3669
Country : US
Telephone Number : 912-459-0880
Fax Number : 912-459-0886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2011
Last Update Date : 09/07/2011

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Directions to “ DR. MARK CROSKEY PHARMD” Practice Location

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