National Provider Identifier Database

JACK MCCORMICK, PHARM.D. – NPI #1902464159
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

JACK MCCORMICK, PHARM.D.
20 YORK ST
NEW HAVEN, CT06510-3220
Phone: 608-852-6911
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for JACK MCCORMICK

NPI Number 1902464159
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 06/03/2019
Last updated 06/03/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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