Mack, Qutina S

Mack, Qutina S is an sole proprietor health care provider with primary practice located at 1310 Southern Ave Se , Washington DC 20032-4623. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacotherapy is her primary health care specialty. Mack, Qutina S can be contacted via phone (202) 574-6748.

Contact Information

Primary practice address
1310 Southern Ave Se Washington DC 20032-4623
Phone: (202) 574-6748
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19646 Maryland
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PH100000746 District of Columbia

Profile Details

NPI number 1336453984
LBN Legal business name Mack, Qutina S
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2010
Last updated Sep 1st, 2010 - about 14 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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