Mark A Buchanan, PHARMD

Individual provider Active NPI Pharmacotherapy Pharmacist · Atmore, AL

NPI 1033562145 · NPPES record last updated Jul 14, 2016

Key facts

NPI
1033562145
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
PS33306 (FL)
Practice address
506 E Church St
Atmore, AL 36502-2626
Phone
(850) 259-0704
NPI assigned
Jul 14, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19156ALMDPharmacotherapy Pharmacist
PS33306FLMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riteaid Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 19156 AL
Pharmacotherapy Pharmacist 1835P1200X PS33306 FL Yes

Addresses

Primary practice location

506 E Church St
Atmore, AL 36502-2626

Mailing address

8748 Laredo St
Navarre, FL 32566-2130
Phone (850) 259-0704

Other providers in Atmore, AL

All providers in Atmore, AL · Pharmacotherapy Pharmacist in Alabama

Sources for this page

Verify at the official NPI Registry.