Mark Edward Humphrey, RPH

NPI #1740291764 in Marion, Illinois

Provider Information

NPI Number: 1740291764
Entity Type: Individual
Name: Mark Edward Humphrey, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2401 W MAIN ST
Address 2: VA MEDICAL CENTER
City: Marion
State: Illinois
ZIP Code: 62959-1188
Phone: (618) 997-5311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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