MR. Mark Anthony Tatum, RPH

NPI #1376812206 in Pittsfield, Illinois

Provider Information

NPI Number: 1376812206
Entity Type: Individual
Name: MR. Mark Anthony Tatum, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 21, 2011
Last Updated: Dec 21, 2011

Practice Location

Address: 640 W WASHINGTON ST
City: Pittsfield
State: Illinois
ZIP Code: 62363-1350
Phone: (217) 285-2113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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