Green, Mark S

Green, Mark S is an sole proprietor health care provider with primary practice located at 923 W Central Park Ave , Davenport IA 52804-1802. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Green, Mark S can be contacted via phone (563) 322-0256.

Contact Information

Primary practice address
923 W Central Park Ave Davenport IA 52804-1802
Phone: (563) 322-0256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.039749 Illinois
Pharmacy Service Providers / Pharmacist 183500000X 18189 Iowa

Profile Details

NPI number 1215293261
LBN Legal business name Green, Mark S
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2012
Last updated Apr 4th, 2012 - about 14 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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