Individual
DR. TIASARA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1832 KEMPSVILLE RD, VIRGINIA BEACH, VA 23464-6861
(757) 278-2573
Mailing address
1872 SOMERTON PL, VIRGINIA BEACH, VA 23464-6944
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
0202215182
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202215182
VIRGINIA BOARD OF PHARMACY LICENSE NUMBER
VA
Enumeration date
11/10/2020
Last updated
11/10/2020
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