Provider Demographics
NPI:1295059673
Name:MARKS, DEVON M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEVON
Middle Name:M
Last Name:MARKS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13858 ROUTE 31 WEST
Mailing Address - Street 2:WALMART PHARMACY #3607
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-9362
Mailing Address - Country:US
Mailing Address - Phone:585-589-0761
Mailing Address - Fax:585-589-0826
Practice Address - Street 1:13858 ROUTE 31 WEST
Practice Address - Street 2:WALMART PHARMACY #3607
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-9362
Practice Address - Country:US
Practice Address - Phone:585-589-0761
Practice Address - Fax:585-589-0826
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist