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NPI Code Detail

MEDICARE: DR. MARK W RECKER PHARM.D.

MEDICARE: DR. MARK W RECKER 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
1183500000XPharmacist03-1-17380OH

General Provider Information

NPI Number : 1497756514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK W RECKER PHARM.D.
Provider Business Mailing Address
First Line : 232 MILLER RD
Second Line :
City : COLUMBUS GROVE
State : OH
Zip : 45830-9463
Country : US
Telephone Number : 419-659-6250
Fax Number : 419-226-5138
Provider Business Practice Location Address
First Line : 1001 BELLEFONTAINE AVE
Second Line : LIMA MEMORIAL HOSPITAL PHARMACY
City : LIMA
State : OH
Zip : 45804-2800
Country : US
Telephone Number : 419-998-4524
Fax Number : 419-226-5138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 07/08/2007

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