Individual provider · Type 1 NPI

Latilia Deanne Mack, PharmD

Pharmacist · Eagle Butte, SD

NPI number 1295082840 Active

Practice location

24276 166th St, Airport Rd
Eagle Butte, SD 57625

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH024746 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1295082840

Latilia Deanne Mack, PharmD's National Provider Identifier is 1295082840, issued on Aug 13, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Eagle Butte, SD. The record was last updated on Aug 13, 2012.