Individual
DR. QUTINA S MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6748
Mailing address
10104 SENATE DR, LANHAM, MD 20706-4392
(708) 218-6695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19646
MD
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH100000746
DC
Other
Enumeration date
08/05/2010
Last updated
09/01/2010
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