Organization
MARKS PHARMACY
Active
Other names
MARKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SMITH (PRESIDENT AND 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
106 CREEK ST, PO BOX 1035, LAKE CITY, TN 37769
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0114773
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3910029
—
TN
01
—
4440412
OTHER ID NUMBER
—
Enumeration date
08/20/2007
Last updated
07/03/2008
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