Individual provider · NPI-1
Dr. Mark L. Bailey, PharmD, MBA
Pharmacist · Johnstown, OH
NPI number1508193947
StatusActive
Last updated in NPPESDec 29, 2022
Details
- NPI
- 1508193947
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark L. Bailey
- Credential
- PharmD, MBA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2009
- Certification date
- Dec 29, 2022
- Last updated
- Dec 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0202207416 | VA | Yes |
| 183500000X | Pharmacist | 03135370 | OH | |
| 183500000X | Pharmacist | 35934 | SC | |
| 183500000X | Pharmacist | 018767 | NC | |
| 183500000X | Pharmacist | PS 43348 | FL |
Practice location
252 Whitetail TrlJohnstown, OH 43031-7549
Phone 919-333-3609
Mailing address
252 Whitetail TrlJohnstown, OH 43031-7549
Phone 919-333-3609
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