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NPI Code Detail

MEDICARE: DR. MARK RESNICK PHARMD

MEDICARE: DR. MARK RESNICK 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
1183500000XPharmacist53054CA

General Provider Information

NPI Number : 1891646667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK RESNICK PHARMD
Provider Business Mailing Address
First Line : 10333 EL CAMINO REAL
Second Line :
City : ATASCADERO
State : CA
Zip : 93422-5808
Country : US
Telephone Number : 805-468-3658
Fax Number :
Provider Business Practice Location Address
First Line : 10333 EL CAMINO REAL
Second Line :
City : ATASCADERO
State : CA
Zip : 93422-5808
Country : US
Telephone Number : 805-468-3658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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