Mack, Randy J

Mack, Randy J is an sole proprietor health care provider with primary practice located at 6100 Shingle Creek Pkwy T0240, Brooklyn Center MN 55430-2110. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mack, Randy J can be contacted via phone (763) 566-0143.

Contact Information

Primary practice address
6100 Shingle Creek Pkwy T0240 Brooklyn Center MN 55430-2110
Phone: (763) 566-0143
Fax: (763) 566-0143
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 115304 Minnesota

Profile Details

NPI number 1922392125
LBN Legal business name Mack, Randy J
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2011
Last updated Jun 6th, 2011 - 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.

Request for update

Popular Providers