| Doctor Name: | MR. MARK LOUIS FOX |
| NPI Number: | 1013150614 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPH |
| License Number: | MA23633 |
| Business Practice Address: | 421 N Main St Leeds, MA - 010539764 |
| Business Phone Number: | 4135844040 |
| Business Fax Number: | 4135823113 |
| Mailing Address: | 421 N Main St, LEEDS |
| State: | MA |
| Postal Code: | 010539764 |
| Phone Number: | 4135844040 |
| Fax Number: | 4135823113 |
| NPI Enumeration Date: | 04/13/2009 |
| NPI Last Update Date: | 04/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | MA23633 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |