Mack, Douglas Randolph

Mack, Douglas Randolph is an sole proprietor health care provider with primary practice located at 90 Cic Blvd , West Union OH 45693-8024. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mack, Douglas Randolph can be contacted via phone (937) 544-8989.

Contact Information

Primary practice address
90 Cic Blvd West Union OH 45693-8024
Phone: (937) 544-8989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03311666 Ohio

Profile Details

NPI number 1336869841
LBN Legal business name Mack, Douglas Randolph
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2022
Last updated Sep 2nd, 2022 - about 2 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.

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