Mark Coburn, R.PH.

NPI #1528463668 in Sandpoint, Idaho

Provider Information

NPI Number: 1528463668
Entity Type: Individual
Name: Mark Coburn, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Oct 31, 2014
Last Updated: Oct 31, 2014

Practice Location

Address: 604 N 5TH AVE
City: Sandpoint
State: Idaho
ZIP Code: 83864-1520
Phone: (208) 263-1408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary
Pharmacist - Geriatric — Geriatric	1835G0303X

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