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NPI Code Detail

MEDICARE: MARKS PHARMACY INCORPORATED

MEDICARE: MARKS PHARMACY INCORPORATED
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
13336C0004XCompounding Pharmacy
23336S0011XSpecialty Pharmacy
33336C0003XCommunity/Retail Pharmacy27276TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12127932OTHERPK

General Provider Information

NPI Number : 1851694384
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARKS PHARMACY INCORPORATED
Provider Business Mailing Address
First Line : 8150 BROOKRIVER DR STE 107
Second Line :
City : DALLAS
State : TX
Zip : 75247-4068
Country : US
Telephone Number : 469-547-5419
Fax Number : 469-547-2420
Provider Business Practice Location Address
First Line : 8150 BROOKRIVER DR STE 107
Second Line :
City : DALLAS
State : TX
Zip : 75247-4068
Country : US
Telephone Number : 469-547-2419
Fax Number : 469-547-2420
Authorized Official
Title or Position : PRESIDENT,PHARMACIST IN CHARGE
Name : FRANCIS EDAKI
Credential :
Telephone Number : 832-275-1333
Provider Enumeration Date : 12/06/2010
Last Update Date : 06/18/2014

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Directions to “MARKS PHARMACY INCORPORATED ” Practice Location

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