Mack, Tiffany Danielle

Mack, Tiffany Danielle is an sole proprietor health care provider with primary practice located at 151 Knollcroft Rd Bldg 53 , Lyons NJ 07939-5001. She recently has only one registered license in Suppliers / Department of Veterans Affairs (VA) Pharmacy, which is considered as her primary health care specialty. Mack, Tiffany Danielle can be contacted via phone (908) 647-0180.

Contact Information

Primary practice address
151 Knollcroft Rd Bldg 53 Lyons NJ 07939-5001
Phone: (908) 647-0180
Fax: (908) 604-5836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Department of Veterans Affairs (VA) Pharmacy 332100000X

Profile Details

NPI number 1205587292
LBN Legal business name Mack, Tiffany Danielle
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2022
Last updated Jan 3rd, 2023 - 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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