NPI 1083896963

Mark David Kinner

Practitioner Pharmacist Sayre, PA

Practice location

Address: 1593 Elmira St, Sayre, PA 18840-9254
Phone: (570) 888-2369
Mailing address: 387 Pennsylvania Ave, Sayre, PA 18840-9279

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RP029528L (PA)

Other Pharmacist providers in Pennsylvania →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 032567 (NY)

Registry record

NPI: 1083896963
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2007
Record last updated: 3 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.