Provider Demographics
NPI:1235852997
Name:MAC PHARMACY CONSULTING LLC
Entity Type:Organization
Organization Name:MAC PHARMACY CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CONSULTANT PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:CREWS
Authorized Official - Last Name:SLACK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:407-590-5120
Mailing Address - Street 1:10980 MERIDIAN DR S
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4609
Mailing Address - Country:US
Mailing Address - Phone:407-590-5120
Mailing Address - Fax:754-529-8945
Practice Address - Street 1:10980 MERIDIAN DR S
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-4609
Practice Address - Country:US
Practice Address - Phone:407-590-5120
Practice Address - Fax:754-529-8945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty