Individual
AMY LEE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
10,000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
Mailing address
2915 166TH AVE N, CLEARWATER, FL 33760-1916
(727) 204-4832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41304
FL
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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