Provider Demographics
NPI:1447850060
Name:MARQUARD, KIRK JOHN (RPH)
Entity type:Individual
Prefix:
First Name:KIRK
Middle Name:JOHN
Last Name:MARQUARD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6897 HOLYOKE CT UNIT D
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-8145
Mailing Address - Country:US
Mailing Address - Phone:239-790-1804
Mailing Address - Fax:239-790-1807
Practice Address - Street 1:7921 SW HIGHWAY 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-3976
Practice Address - Country:US
Practice Address - Phone:352-854-9600
Practice Address - Fax:352-854-2512
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-01
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44398183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist