Individual
BRUCE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1280 CHILD STREET, JACKSONVILLE, FL 32214-0001
(904) 542-7406
Mailing address
8448 APRIL ST, JACKSONVILLE, FL 32244-1016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0028858
FL
Other
Enumeration date
02/13/2006
Last updated
05/06/2009
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