Individual
DR. MARK BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
212 ELKS POINT RD, ZEPHYR COVE, NV 89448-9800
(775) 338-4145
(775) 586-9019
Mailing address
PO BOX 11265, ZEPHYR COVE, NV 89448-3265
(775) 338-4145
(775) 586-9019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0011837
OR
183500000X
Pharmacist
Primary
017631
NV
183500000X
Pharmacist
64139
CA
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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