Organization
MARKS PHARMACY
Active
Organization
MARKS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SMITH (PRESIDENT CEO)
(865) 426-2186
Entity
Organization
Contact information
Practice address
106 CREEK ST, LAKE CITY, TN 37769
(865) 426-2186
(865) 426-9200
Mailing address
PO BOX 1035, LAKE CITY, TN 37769-1035
(865) 300-8084
(865) 426-9200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1352
TN
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3910029
—
TN
01
—
4408173
NCPDP-PHARMACY
TN
01
—
4440412
NCPDP-DME
TN
Enumeration date
12/08/2006
Last updated
04/29/2008
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