Hall, Nyasha Mack
Hall, Nyasha Mack is an sole proprietor health care provider with primary practice located at 7031 Washington Ave , Lantana FL 33462-5201. She recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as her primary health care specialty. Hall, Nyasha Mack can be contacted via phone (561) 585-6911.Contact Information
Primary practice address
7031 Washington Ave
Lantana FL 33462-5201
Phone: (561) 585-6911
Fax: (561) 585-2610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Geriatric | 1835G0303X | PS33824 | Florida |
Profile Details
| NPI number | 1639782576 |
|---|---|
| LBN Legal business name | Hall, Nyasha Mack |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2020 |
| Last updated | Aug 29th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639782576 | NPPES |
| Florida | Other | PS33824 | FLORIDA BOARD OF PHARMACY |
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