Individual
MR. DAVID JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
130 ENTERPRISE DR, WALGREENS SPECIALTY PHARMACY, PITTSBURGH, PA 15275-1213
(412) 413-8041
(877) 231-8302
Mailing address
130 ENTERPRISE DR, WALGREENS SPECIALTY PHARMACY, PITTSBURGH, PA 15275-1213
(412) 413-8041
(877) 231-8302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP0008819
WV
183500000X
Pharmacist
Primary
RP033586L
PA
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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