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Individual

SCOTT K MACDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
133 ORNAC, PHARMACY DEPT, CONCORD, MA 01742
(978) 287-3770
(978) 287-3670
Mailing address
133 ORNAC, PHARMACY DEPT, CONCORD, MA 01742
(978) 287-3770
(978) 287-3670

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH18574
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH18574
PHARMACY LICENSE
MA
Enumeration date
12/08/2010
Last updated
12/08/2010
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