Individual
MARK BERNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
152 S 4TH ST, MONTPELIER, ID 83254-1538
(208) 904-3600
(208) 904-0556
Mailing address
152 S 4TH ST, MONTPELIER, ID 83254-1538
(208) 904-3600
(208) 904-0556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7384
ID
Other
Enumeration date
11/05/2015
Last updated
03/22/2017
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