Individual
JONATHAN SCOTT MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
805 S LONG DR, ROCKINGHAM, NC 28379-4317
(910) 997-4471
(910) 997-4951
Mailing address
110 DOUBLE L RD, ROCKINGHAM, NC 28379-9481
(910) 997-4471
(910) 997-4951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13886
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13886
PHARMACIST LICENSE
NC
Enumeration date
04/03/2007
Last updated
07/08/2007
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