National Provider Identifier
Mark E Simons, RPH
Mark E Simons, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Lakewood, NY and a listed phone number of (716) 763-4759.
Profile Overview
- NPI
- 1073794707
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- November 21, 2007
- Last Updated
- November 21, 2007
Practice Location
- 279 E Fairmount Ave
- Lakewood, NY 14750-1900
Phone: (716) 763-4759
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1073794707
- Entity Type
- Individual
- Last Name
- Simons
- First Name
- Mark
- Middle Name
- E
- Credential
- RPH
- Mailing Street Address
- 279 E Fairmount Ave
- Mailing City
- Lakewood
- Mailing State
- NY
- Mailing ZIP Code
- 14750-1900
- Mailing Country
- US
- Mailing Phone
- (716) 763-4759
- Mailing Fax
- (716) 762-4769
- Practice Street Address
- 279 E Fairmount Ave
- Practice City
- Lakewood
- Practice State
- NY
- Practice ZIP Code
- 14750-1900
- Practice Country
- US
- Practice Phone
- (716) 763-4759
- Practice Fax
- (716) 762-4769
- Enumeration Date
- November 21, 2007
- Last Updated
- November 21, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 01204755 (NY)