Organization
MAC RX OF MISSOURI, LLC
Active
Organization
MAC RX OF MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PEREZ (COO)
(314) 369-6447
Entity
Organization
Contact information
Practice address
3196 RIVERPORT TECH CENTER DR, MARYLAND HEIGHTS, MO 63043-4825
(314) 887-1720
Mailing address
3196 RIVERPORT TECH CENTER DR, MARYLAND HEIGHTS, MO 63043-4825
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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