IndividualActive
Adam Mack
NPI 1487206090 · Community/Retail Pharmacy · Fairhope, AL
Provider details
- NPI number
- 1487206090
- Entity type
- Individual
- Primary specialty
- Community/Retail PharmacySuppliers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20923 (AL)
Specialties & taxonomies
Suppliers
Practice location
2 Greeno Rd S
Fairhope, AL 36532-2048
Phone: (251) 928-6558
Approximate (ZIP-level) locationGet directions
Mailing address
1820 Peaches Ln
Cantonment, FL 32533-8500
Registry dates
- Enumerated
- 2019-07-13
- Last updated
- 2019-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.