Mccormick, Jack

Mccormick, Jack is an sole proprietor health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. He recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as his primary health care specialty. Mccormick, Jack can be contacted via phone (608) 852-6911.

Contact Information

Primary practice address
20 York St New Haven CT 06510-3220
Phone: (608) 852-6911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1902464159
LBN Legal business name Mccormick, Jack
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2019
Last updated Jun 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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