Individual
MR. MARK JOHN KUSMIERCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2887 S MARKET ST, GILBERT, AZ 85295-1303
(480) 366-3959
(480) 366-3956
Mailing address
2887 S MARKET ST, GILBERT, AZ 85295-1303
(480) 366-3959
(480) 366-3956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S006175
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0353386
NABP
AZ
Enumeration date
09/17/2012
Last updated
09/17/2012
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