Provider Demographics
NPI:1659655868
Name:MACKAY, AVRIL LEE (PHARM D)
Entity Type:Individual
Prefix:
First Name:AVRIL
Middle Name:LEE
Last Name:MACKAY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7905 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-5633
Mailing Address - Country:US
Mailing Address - Phone:509-467-8361
Mailing Address - Fax:
Practice Address - Street 1:7905 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5633
Practice Address - Country:US
Practice Address - Phone:509-467-8361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60164263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist