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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447434600 | NPPES |
| Other | HSZ204 | MEDICARE GROUP NUMBER | |
| MEDICAID | 273855 | MEDICARE GROUP NUMBER |
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