Latilia Mack, PHARM.D

NPI 1295082840 · on the registry since 2012

Practice

Address: 24276 166th St
Airport Rd
Eagle Butte, SD 57625
Phone: (605) 964-0650
Organisation at this address: Cheyenne River Sioux Tribe
Cheyenne River Dental Clinic
Eagle Butte Indian Health Service Hospital
Cheyenne River Sioux Tribe Field Health Clinic
Crst Community Health Representatives (Chr) Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota