Mark Moran

NPI #1093997397 in Brockport, New York

Provider Information

NPI Number: 1093997397
Entity Type: Individual
Name: Mark Moran
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 29, 2007
Last Updated: Feb 26, 2010

Practice Location

Address: 6515 BROCKPORT SPENCERPORT RD
City: Brockport
State: New York
ZIP Code: 14420-2666
Phone: (585) 637-3933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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