| NPI | 1700212552 |
|---|---|
| Other Name | MACKIE KING |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 23578) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2021-05-26 |