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NPI Code Detail

MEDICARE: DR. JAMES PATRICK MCMACKIN PHARM.D.

MEDICARE: DR. JAMES PATRICK MCMACKIN PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist9478TN

General Provider Information

NPI Number : 1366556565
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES PATRICK MCMACKIN PHARM.D.
Provider Business Mailing Address
First Line : 8 NORTHRIDGE CIR
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-3066
Country : US
Telephone Number : 423-232-9866
Fax Number : 423-926-0567
Provider Business Practice Location Address
First Line : 525 N STATE OF FRANKLIN RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-8213
Country : US
Telephone Number : 423-232-9866
Fax Number : 423-926-0567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 07/08/2007

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