Daniel John Marks, PHARMD

Individual provider Active NPI Pharmacist · Montecito, CA

NPI 1801196803 · NPPES record last updated Oct 25, 2010

Key facts

NPI
1801196803
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH 60075 (CA)
Practice address
1020 Coast Village Rd
Montecito, CA 93108-2715
Phone
(805) 969-4728
Fax
(805) 969-2069
NPI assigned
Oct 25, 2010
Sex
Male
Sole proprietor
No

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
RPH 60075CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 60075 CA Yes

Addresses

Primary practice location

1020 Coast Village Rd
Montecito, CA 93108-2715

Mailing address

1020 Coast Village Rd
Montecito, CA 93108-2715
Phone (805) 969-4728

Other providers in Montecito, CA

All providers in Montecito, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.