Individual
JACARA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1051 SOUTH ST, PHILADELPHIA, PA 19147-1910
(215) 829-0670
Mailing address
PO BOX 19351, PHILADELPHIA, PA 19143-0351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP044049L
PA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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