Active NPIIndividual provider

Dr. Marc J Mycko, PHARM D

Pharmacist in Lewiston, Maine

NPI Number1588941595
Practice location
430 Sabattus St, Lewiston, ME 04240-5430
Fax
—
Last updated
November 5, 2011

Marc J Mycko is a Pharmacist based in Lewiston, ME. Marc J Mycko practices in Lewiston, ME and has the professional credentials of PHARM D. The NPI Number for Marc J Mycko is 1588941595 and holds a License No. PR5029 (ME). The current practice location address for Marc J Mycko is 430 Sabattus St, Lewiston, ME 04240-5430 and can be reached out via phone at 207-783-2013.

Provider Profile Details

NPI Number
1588941595
Provider Name
Marc J Mycko
Credential
PHARM D
Provider Entity Type
Individual
Gender
Male
Address
430 Sabattus St, Lewiston, ME 04240-5430
Phone Number
207-783-2013
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
November 5, 2011
Last Update Date
November 5, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
430 Sabattus St
Lewiston, ME 04240-5430
State
Maine
Zip
04240-5430
Phone Number
207-783-2013
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
128 Norwood Farms RD
York, ME 03909-1519
City
York
State
ME
Zip
03909-1519
Phone Number
207-363-5640

License Information

License Number (1)
PR5029
License State (1)
ME
Taxonomy (1)
Pharmacist · 183500000X · Primary
License Number (2)
3324
License State (2)
NH
Taxonomy (2)
Pharmacist · 183500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marc J Mycko, PHARM D?

The NPI number of Dr. Marc J Mycko, PHARM D is 1588941595. It was assigned on November 5, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Marc J Mycko, PHARM D?

Dr. Marc J Mycko, PHARM D is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number PR5029.

Where does Dr. Marc J Mycko, PHARM D practice?

The practice location is 430 Sabattus St, Lewiston, ME 04240-5430. The office can be reached at 207-783-2013 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588941595 directly on the NPPES registry website.

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