Mac, Andrew J
Mac, Andrew J is an sole proprietor health care provider with primary practice located at 34550 Glendale St , Livonia MI 48150-1304. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mac, Andrew J can be contacted via phone (734) 377-3154.Contact Information
Primary practice address
34550 Glendale St
Livonia MI 48150-1304
Phone: (734) 377-3154
Fax: (734) 345-3525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5302028280 | Michigan |
Profile Details
| NPI number | 1114193554 |
|---|---|
| LBN Legal business name | Mac, Andrew J |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2008 |
| Last updated | Jan 21st, 2022 - about 3 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 | 1114193554 | NPPES |
| Michigan | Other | 5302028280 | MICHIGAN CONTROLLED SUBSTANCE LICENSE |
| Michigan | Other | 5302028280 | MICHIGAN CONTROLLED SUBSTANCE LICENSE |
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