Individual
DARREN GAROLD MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1583 HIGHWAY 10 W, DETROIT LAKES, MN 56501-2232
(218) 847-7225
(218) 847-8307
Mailing address
703 BROADWAY AVE, DETROIT LAKES, MN 56501-2114
(218) 234-7942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116436
MN
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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