Individual
MARY E MACKEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
HWY 1, RED LAKE, MN 56671
(218) 679-3912
(218) 679-0189
Mailing address
37806 COUNTY 2, SHEVLIN, MN 56676-4862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12084
NE
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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