Individual
DR. JACK MICHAEL MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4174 WESTPORT RD, LOUISVILLE, KY 40207-2735
(502) 992-1039
Mailing address
904 FENLEY AVE, LOUISVILLE, KY 40222-4448
(502) 412-2899
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015606
KY
Other
Enumeration date
07/24/2011
Last updated
07/24/2011
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