Individual
KENNETH E. 'MAC' MCCOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
755 NORTH BAMBOO AVE, TUCSON, AZ 85710-3180
(520) 296-5705
Mailing address
755 N BAMBOO AVE, TUCSON, AZ 85710-3180
(520) 296-5705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S007245
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S007245
STATE BOARD OF PHARMACY
AZ
Enumeration date
05/19/2011
Last updated
05/19/2011
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