MR. Gregory Scott Mack

NPI #1063790020 in Glen Cove, New York

Provider Information

NPI Number: 1063790020
Entity Type: Individual
Name: MR. Gregory Scott Mack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 25, 2011
Last Updated: Jul 25, 2011

Practice Location

Address: 101 SAINT ANDREWS LN
Address 2: PHARMACY DEPT GLEN COVE HOSPITAL
City: Glen Cove
State: New York
ZIP Code: 11542-2254
Phone: (516) 674-7778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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