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Individual

EDWARD MACKIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2299 ODDIE BLVD, SPARKS, NV 89431-7573
(775) 358-4721
Mailing address
2299 ODDIE BLVD, SPARKS, NV 89431
(775) 358-4721

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05457
NV

Other

Enumeration date
12/12/2011
Last updated
12/12/2011
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