MR. Mark Gordon Maxwell, R.PH.
NPI #1790089241 in East Moline, Illinois
Provider Information
- NPI Number
- 1790089241
- Entity Type
- Individual
- Name
- MR. Mark Gordon Maxwell, R.PH.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- R.PH.
- Enumeration Date
- Dec 27, 2010
- Last Updated
- Dec 27, 2010
Practice Location
- Address
- 107 AVENUE OF THE CITIES
- City
- East Moline
- State
- Illinois
- ZIP Code
- 61244-4018
- Phone
- (309) 751-0960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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