Dr Mark J Quackenbush, PHARMD RPH is a
Pharmacist based in Freehold, New York. Dr Mark J Quackenbush is licensed to practice in New York (license number 032698) and his current practice location is
420 Big Woods Rd, Freehold, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 634-7406.
NPI number for Dr Mark J Quackenbush is 1295069359 and his current mailing address is 420 Big Woods Rd, Freehold, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295069359.
Healthcare Provider's Profile
| Full Name | Dr Mark J Quackenbush |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 420 Big Woods Rd, Freehold, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295069359
- Provider Enumeration Date: 09/22/2009
- Last Update Date: 09/22/2009
Medical Identifiers
Medical identifiers for Dr Mark J Quackenbush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295069359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 032698 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark J Quackenbush is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark J Quackenbush, PHARMD RPH
420 Big Woods Rd,
Freehold, NY 12431-5107
Ph: (518) 634-7406 | Dr Mark J Quackenbush, PHARMD RPH
420 Big Woods Rd,
Freehold, NY 12431-5107
Ph: (518) 634-7406 |
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