Mark Francis Dzik, BSC PHARMACY
Individual provider Active NPI Pharmacist · Middleville, MI
NPI 1396018248 · NPPES record last updated Feb 22, 2012
Key facts
- NPI
- 1396018248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302032196 (MI)
- Practice address
- 4652 N M 37 Hwy
Middleville, MI 49333-8806 - Phone
- (269) 795-7936
- NPI assigned
- Feb 22, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302032196 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pci Pharmacy, Inc | Past |
Accepting new patients | |
| Pci Pharmacy, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302032196 | MI | Yes |
Addresses
Primary practice location
4652 N M 37 Hwy
Middleville, MI 49333-8806
Mailing address
9143 Ladner Farms NE
Ada, MI 49301-8894
Phone (616) 874-3221
Other providers in Middleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.