Individual
MR. MARK ANTHONY CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
331 KEEN ST, BURKESVILLE, KY 42717
(270) 864-1606
Mailing address
PO BOX 157, 331 KEEN ST, BURKESVILLE, KY 42717
(270) 864-1606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011053
KY
183500000X
Pharmacist
09532
TN
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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