Shundra Mack

NPI #1619560372 in Longview, Texas

Provider Information

NPI Number: 1619560372
Entity Type: Individual
Name: Shundra Mack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 13, 2021
Last Updated: Feb 13, 2021

Practice Location

Address: 3301 4TH ST
City: Longview
State: Texas
ZIP Code: 75605-7959
Phone: (903) 663-4362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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