Randy J Mack, RPH

NPI #1922392125 in Brooklyn Center, Minnesota

Provider Information

NPI Number: 1922392125
Entity Type: Individual
Name: Randy J Mack, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 6, 2011
Last Updated: Jun 6, 2011

Practice Location

Address: 6100 SHINGLE CREEK PKWY
Address 2: T0240
City: Brooklyn Center
State: Minnesota
ZIP Code: 55430-2110
Phone: (763) 566-0143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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