Organization Name: | MARK DRUGS NORTHSHORE INC |
NPI Number: | 1043486269 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG BATOGOWSKI (OWNER) |
Mailing Address: | 1020 Milwaukee Ave Ste 140 Deerfield |
State: | IL US |
Postal Code: | 600153513 |
Phone Number: | 8474199898 |
Fax Number: | 8474199899 |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |