Individual
MARK A MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
190 PLAZA DR, STE GENEVIEVE, MO 63670-1828
(573) 883-3524
(573) 883-7991
Mailing address
2026 TREYBROOK CT, IMPERIAL, MO 63052-4015
(636) 464-4821
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40183
MO
Other
Enumeration date
05/11/2007
Last updated
03/02/2017
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