Mog, Marcus

Mog, Marcus is an sole proprietor health care provider with primary practice located at 1700 Kingfisher Dr , Frederick MD 21701-4775. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Mog, Marcus can be contacted via phone (301) 815-2201.

Contact Information

Primary practice address
1700 Kingfisher Dr Frederick MD 21701-4775
Phone: (301) 815-2201
Fax: (844) 411-6310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26775 Maryland
Pharmacy Service Providers / Pharmacist 183500000X 26775 Maryland

Profile Details

NPI number 1528669322
LBN Legal business name Mog, Marcus
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2020
Last updated Nov 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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