Bruce Mack

NPI 1043283781 - Pharmacist - 183500000X

NPI Details
NPI 1043283781
Gender Male
Enumeration Date 02/13/2006
Last Updated 05/06/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1280 CHILD STREET
JACKSONVILLE FL, 32214-0001, US
Phone (904) 542-7406
Fax
Business Location
8448 APRIL ST
JACKSONVILLE FL, 32244-1016, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Florida
License Number PS0028858
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According to our database, Bruce Mack NPI is 1043283781, taxonomy code is 183500000X and license number is PS0028858, license state is located at Florida. Bruce Mack physically located at 1280 Child Street, Jacksonville FL, 32214-0001. NPI Number Bruce Mack has the Individual type.

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1043283781 NPI number is provided on an as is basis without warranty of any kind. 1043283781 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Mack are for informational purposes only.