Mark Corum

Pharmacist · White Pine, TN

Individual Active NPI

NPI number 1669865440

Practice location

1212 State St
White Pine, TN 37890-3467
Phone
(865) 674-7517

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NPI record

NPI
1669865440
Entity type
Individual (Type 1)
Enumeration date
March 18, 2015
Last updated
March 18, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 9174 TN

Mailing address

868 Sellers Rd
Jefferson City, TN 37760-4203
Phone
(865) 591-6942

About Mark Corum

Mark Corum is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1212 State St, White Pine, TN 37890-3467. The NPI number 1669865440 was assigned on March 18, 2015 and the record was last updated on March 18, 2015.

Mark Corum lists a license in the registry: #9174 (TN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Corum?

The NPI number is 1669865440.

What is the phone number of Mark Corum?

The phone number listed for the practice location is (865) 674-7517.

Where is Mark Corum located?

1212 State St, White Pine, TN 37890-3467.

What is the taxonomy code for Mark Corum?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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