Smith, Mark

Smith, Mark is an sole proprietor health care provider with primary practice located at 1600 N Main St , Meridian ID 83642-1709. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Smith, Mark can be contacted via phone (208) 888-7311.

Contact Information

Primary practice address
1600 N Main St Meridian ID 83642-1709
Phone: (208) 888-7311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P5818 Idaho

Profile Details

NPI number 1013106327
LBN Legal business name Smith, Mark
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2007
Last updated Oct 23rd, 2007 - about 18 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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