Most Relevant Information
Provider Data
| NPI Number: | 1003283391 |
| Provider Name: | KEVIN THOMAS MARX PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | 63135 |
Most Important Dates
| Enumeration Date: | 08/21/2015 |
| Last Updated: | 08/21/2015 |
Provider Practice Location
1625 SCHRADER BLVD
LOS ANGELES
CA
900286213
Practice Location Phone/Fax
| Phone: | 3239937467 |
| Fax: | 3233084448 |
Provider Mailing Location
1625 SCHRADER BLVD
LOS ANGELES
CA
900286213
Provider Mailing Phone/Fax
| Phone: | 3239937467 |
| Fax: | 3233084448 |