Individual
MR. CHRISTOPHER JAMES MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
7338 DIXIE HWY, LOUISVILLE, KY 40258
(502) 937-3747
Mailing address
309 FIBLES RUN CT., SIMPSONVILLE, KY 40064
(502) 855-9038
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011293
KY
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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