Individual
JILL R MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
616 OLIVE WAY, SEATTLE, WA 98101-1717
(206) 622-3565
(206) 382-9727
Mailing address
616 OLIVE WAY, SEATTLE, WA 98101-1717
(206) 622-3565
(206) 382-9727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60001552
WA
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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