Provider Demographics
NPI:1255445011
Name:KERN, MARK FRANKLIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:FRANKLIN
Last Name:KERN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 OAKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:NEW FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:17349-8306
Mailing Address - Country:US
Mailing Address - Phone:717-227-8148
Mailing Address - Fax:410-545-4254
Practice Address - Street 1:6501 N. CHARLES ST
Practice Address - Street 2:WEINBERG BLD - PHARMACY DEPARTMENT
Practice Address - City:YOUSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-938-3431
Practice Address - Fax:410-545-4254
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2015-10-21
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2015-10-21
Provider Licenses
StateLicense IDTaxonomies
MD08861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist