Individual
JACK MCEWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10405 N LA CANADA DR, ORO VALLEY, AZ 85737-6945
(520) 297-4675
Mailing address
3740 E NUGGET CANYON PL, TUCSON, AZ 85718-2341
(520) 529-7322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5480
AZ
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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