Provider Demographics
NPI:1588765101
Name:MACKLIN, NEIL ALLEN (RPH)
Entity type:Individual
Prefix:MR
First Name:NEIL
Middle Name:ALLEN
Last Name:MACKLIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2040 WRIGHT BLVD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4649
Mailing Address - Country:US
Mailing Address - Phone:847-821-1106
Mailing Address - Fax:847-480-1988
Practice Address - Street 1:2750 DUNDEE RD
Practice Address - Street 2:SUITE 9
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2600
Practice Address - Country:US
Practice Address - Phone:847-480-1000
Practice Address - Fax:847-480-1988
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist