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MARK JURGES PHARM D
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1215274725
Individual Registrant: MARK JURGES PHARM D
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
6203 AGENCY LOOP RD WELLPINIT, WA 99040 US
Tel: 509-258-4517 Fax: --
Tel: 509-258-4517 Fax: --
Contact information for business:
PO BOX 357 WELLPINIT, WA 99040-0357 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1215274725
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | MI | 5302038213 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
