Individual
JONATHAN MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
6233 W BEHREND DR, APT 2053, GLENDALE, AZ 85308-6970
(352) 999-2661
Mailing address
6233 W BEHREND DR, APT 2053, GLENDALE, AZ 85308-6970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I010024
AZ
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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