Individual
MELVIN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2465 S BROAD ST, HAMILTON, NJ 08610-4700
(609) 503-0076
(609) 888-4604
Mailing address
316 SAYRE DR, PRINCETON, NJ 08540-5872
(609) 520-9799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13370
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13370
BOARD OF PHARMACY
NJ
Enumeration date
02/12/2008
Last updated
02/12/2008
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