Individual
DR. JUSTIN MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2711 E BRESSINGHAM WAY, BLOOMINGTON, IN 47401-4167
(315) 783-9132
Mailing address
2711 E BRESSINGHAM WAY, BLOOMINGTON, IN 47401-4167
(315) 783-9132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023596A
IN
Other
Enumeration date
06/27/2010
Last updated
06/27/2010
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