Coburn, Mark

Coburn, Mark is an sole proprietor health care provider with primary practice located at 604 N 5Th Ave , Sandpoint ID 83864-1520. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Coburn, Mark can be contacted via phone (208) 263-1408.

Contact Information

Primary practice address
604 N 5Th Ave Sandpoint ID 83864-1520
Phone: (208) 263-1408
Fax: (208) 265-8784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P3991 Idaho
Pharmacy Service Providers / Geriatric 1835G0303X PH00009889 Washington

Profile Details

NPI number 1528463668
LBN Legal business name Coburn, Mark
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2014
Last updated Oct 31st, 2014 - about 12 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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