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Organization
J MAC DRUG INC
Active
Organization
J MAC DRUG INC
Active
Other names
McCanns Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW JOSEPH MCCANN (VICE PRESIDENT)
(503) 639-7377
Entity
Organization
Contact information
Practice address
15685 SW 116TH AVE, KING CITY, OR 97224-2651
(503) 639-7377
(503) 620-2167
Mailing address
15685 SW 116TH AVE, KING CITY, OR 97224-2651
(503) 639-7377
(503) 620-2167
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0000563CS
OR
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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