National Provider Identifier
Mark Moran
Mark Moran is listed in the NPPES registry with a primary specialty of Pharmacist in Brockport, NY and a listed phone number of (585) 637-3933.
Profile Overview
- NPI
- 1093997397
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- November 29, 2007
- Last Updated
- February 26, 2010
Practice Location
- 6515 Brockport Spencerport RD
- Brockport, NY 14420-2666
Phone: (585) 637-3933
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1093997397
- Entity Type
- Individual
- Last Name
- Moran
- First Name
- Mark
- Mailing Street Address
- 6515 Brockport Spencerport RD
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2666
- Mailing Country
- US
- Mailing Phone
- (585) 637-3933
- Practice Street Address
- 6515 Brockport Spencerport RD
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2666
- Practice Country
- US
- Practice Phone
- (585) 637-3933
- Practice Fax
- (585) 637-0075
- Enumeration Date
- November 29, 2007
- Last Updated
- February 26, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 00446800 (NY)