Individual
JACK EARL MACCARTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
307 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4702
(330) 758-2824
Mailing address
235 BRAINARD DR, BOARDMAN, OH 44512-2804
(330) 758-3588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03208765
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03208765
TAXONOMY
OH
Enumeration date
04/13/2011
Last updated
04/13/2011
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