Individual
MR. JEFFERY SCOTT MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7602
(503) 304-7678
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7602
(503) 304-7678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11190
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273855
—
OR
01
—
HSZ204
MEDICARE GROUP NUMBER
—
Enumeration date
12/24/2007
Last updated
04/14/2021
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