| NPI | 1386655959 |
|---|---|
| Doing Business As | MACK'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LARRY GOLDSTEIN Owner 602-956-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y002107) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-09-13 |