National Provider Identifier
Mark William Fagnan, RPH
Mark William Fagnan, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Horseheads, NY and a listed phone number of (607) 739-0301.
Profile Overview
- NPI
- 1942480520
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- November 12, 2007
- Last Updated
- November 17, 2007
Practice Location
- 507 Chemung St
- Horseheads, NY 14845-2711
Phone: (607) 739-0301
Mailing Address
- PO Box 696
- Montour Falls, NY 14865-0696
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1942480520
- Entity Type
- Individual
- Last Name
- Fagnan
- First Name
- Mark
- Middle Name
- William
- Name Prefix
- Mr.
- Credential
- RPH
- Mailing Street Address
- PO Box 696
- Mailing City
- Montour Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14865-0696
- Mailing Country
- US
- Mailing Phone
- (607) 426-9754
- Practice Street Address
- 507 Chemung St
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-2711
- Practice Country
- US
- Practice Phone
- (607) 739-0301
- Enumeration Date
- November 12, 2007
- Last Updated
- November 17, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 00352098 (NY)