Mccoy, Jeffery Scott

Mccoy, Jeffery Scott is an individual health care provider with primary practice located at 3750 Chemawa Rd Ne , Salem OR 97305-1119. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mccoy, Jeffery Scott can be contacted via phone (503) 304-7602.

Contact Information

Primary practice address
3750 Chemawa Rd Ne Salem OR 97305-1119
Phone: (503) 304-7602
Fax: (503) 304-7678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11190 Oregon

Profile Details

NPI number 1447434600
LBN Legal business name Mccoy, Jeffery Scott
Credentials PHARM. D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2007
Last updated Apr 14th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447434600 NPPES
Other HSZ204 MEDICARE GROUP NUMBER
MEDICAID 273855 MEDICARE GROUP NUMBER

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