Shapiro, Mark Ellis
Shapiro, Mark Ellis is an sole proprietor health care provider with primary practice located at 100 Enterton Rd Costco Pharmacy Dept. 749, Mount Laurel NJ 08054-6103. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Shapiro, Mark Ellis can be contacted via phone (856) 359-3678.Contact Information
Primary practice address
100 Enterton Rd Costco Pharmacy Dept. 749
Mount Laurel NJ 08054-6103
Phone: (856) 359-3678
Fax: (856) 359-3675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RI01767000 | New Jersey |
Profile Details
| NPI number | 1245515733 |
|---|---|
| LBN Legal business name | Shapiro, Mark Ellis |
| Credentials | R.PH. B.SC. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2011 |
| Last updated | Oct 15th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245515733 | NPPES |
| New Jersey | Other | 28RI01767000 | NEW JERSEY PHARMACIST LICENSE NUMBER |
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