Individual
ADAM MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 GREENO RD S, FAIRHOPE, AL 36532-2048
(251) 928-6558
Mailing address
1820 PEACHES LN, CANTONMENT, FL 32533-8500
(850) 516-5477
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20923
AL
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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