Provider Demographics
NPI:1033491675
Name:LEPKOWSKI, MARK R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:R
Last Name:LEPKOWSKI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 LEECHBURG RD
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-4619
Mailing Address - Country:US
Mailing Address - Phone:724-334-1852
Mailing Address - Fax:
Practice Address - Street 1:2455 LEECHBURG RD
Practice Address - Street 2:
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-4619
Practice Address - Country:US
Practice Address - Phone:724-334-1852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19235183500000X
PARP444253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist