Individual
MR. JOHN EDWARD MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8007
Mailing address
3911 SW STEPHENSON ST, PORTLAND, OR 97219-7135
(503) 347-8201
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10840
OR
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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