Individual
DR. MARK POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4302 W BUCKEYE RD, PHOENIX, AZ 85043
(602) 477-5198
Mailing address
6690 W UNION HILLS DR, GLENDALE, AZ 85308-1011
(623) 561-5319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.291885
IL
183500000X
Pharmacist
Primary
S017032
AZ
Other
Enumeration date
01/15/2010
Last updated
07/31/2018
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