NPI 1124418736

Randi Mack

Practitioner Pharmacy Technician Waldorf, MD

Practice location

Address: 3300 Western Pkwy, Waldorf, MD 20603-4582
Phone: (301) 645-7580

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1124418736
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2015
Record last updated: 3 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.