Provider Demographics
NPI:1891815569
Name:SZILAGYI, MARK ALAN (RPH)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:ALAN
Last Name:SZILAGYI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:BIRCHRUNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19421-0067
Mailing Address - Country:US
Mailing Address - Phone:610-469-6265
Mailing Address - Fax:
Practice Address - Street 1:165 NUTT RD
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3905
Practice Address - Country:US
Practice Address - Phone:610-933-2310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029187L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist