Individual provider · Type 1 NPI

Mark Gordon Maxwell, R.PH.

Pharmacist · East Moline, IL

NPI number 1790089241 Active

Practice location

107 Avenue Of The Cities
East Moline, IL 61244-4018

Fax (309) 751-0985

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.035521 (IL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1790089241

Mark Gordon Maxwell, R.PH.'s National Provider Identifier is 1790089241, issued on Dec 27, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in East Moline, IL. The record was last updated on Dec 27, 2010.