Provider Demographics
NPI:1184893851
Name:END, MARK STEPHEN (RPH)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:STEPHEN
Last Name:END
Suffix:
Gender:M
Credentials:RPH
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Mailing Address - Street 1:66 RUSTIC RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-1064
Mailing Address - Country:US
Mailing Address - Phone:412-798-8716
Mailing Address - Fax:412-793-2239
Practice Address - Street 1:313 UNITY CENTER RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-1317
Practice Address - Country:US
Practice Address - Phone:412-793-6500
Practice Address - Fax:412-793-2239
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARP037384L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP037384LOtherSTATE LICENSE