MR. Mark Fotakis, RPH

NPI #1174855837 in Maspeth, New York

Provider Information

NPI Number: 1174855837
Entity Type: Individual
Name: MR. Mark Fotakis, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Feb 5, 2010
Last Updated: Feb 5, 2010

Practice Location

Address: 5301 65TH PL
City: Maspeth
State: New York
ZIP Code: 11378-1656
Phone: (718) 429-4646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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