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General NPI Number Information
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NPI Number | 1235852997
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Entity Type | Organization
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Legal Business Name | MAC PHARMACY CONSULTING LLC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 10980 MERIDIAN DR S
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City | PARKLAND
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State | FL
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Zip | 33076-4609
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Country | US
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Telephone | 407-590-5120
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Fax | 754-529-8945
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Provider Business Mailing Address
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Address Line | 10980 MERIDIAN DR S
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City | PARKLAND
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State | FL
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Zip | 33076-4609
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Country | US
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Telephone | 407-590-5120
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Fax | 754-529-8945
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Authorized Official
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Title or Position | OWNER/CONSULTANT PHARMACIST
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Name | DR. TAMIKA CREWS SLACK
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Credential | PHARM D
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Telephone | 407-590-5120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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