Individual
MARK C FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2660 E 53RD ST, DAVENPORT, IA 52807-3873
(800) 211-1073
Mailing address
2660 E 53RD ST, DAVENPORT, IA 52807-3873
(800) 211-1073
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
051030327
IL
1835G0303X
Geriatric Pharmacist
Primary
14376
IA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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