Mack, Frederick J

Mack, Frederick J is an individual health care provider with primary practice located at 16601 E Centretech Pkwy , Aurora CO 80011-9045. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mack, Frederick J can be contacted via phone (303) 554-5015.

Contact Information

Primary practice address
16601 E Centretech Pkwy Aurora CO 80011-9045
Phone: (303) 554-5015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13051 Colorado

Profile Details

NPI number 1578690525
LBN Legal business name Mack, Frederick J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Nov 14th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578690525 NPPES
Other 012151 KAISER-COMMERCIAL NUMBER

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