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Organization

MARK II ENT., LTD

Active
Other names
Med-Ox Home Medical
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK A SMITH (MANAGING MEMBER)
(937) 323-5764
Entity
Organization

Contact information

Practice address
4867 URBANA RD, SPRINGFIELD, OH 45502-9503
(937) 323-5764
(937) 323-2699
Mailing address
4867 URBANA RD, SPRINGFIELD, OH 45502-9503
(937) 323-5764
(937) 323-2699

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11067
OH
3336M0002X
Mail Order Pharmacy
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2070360
OH
Enumeration date
09/01/2006
Last updated
09/13/2007
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