Provider Demographics
NPI:1225494909
Name:MCCLATCHEY, WILL (RPH)
Entity Type:Individual
Prefix:
First Name:WILL
Middle Name:
Last Name:MCCLATCHEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28281 HAMM RD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-9740
Mailing Address - Country:US
Mailing Address - Phone:541-579-8827
Mailing Address - Fax:
Practice Address - Street 1:1455 WESTEC DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-9189
Practice Address - Country:US
Practice Address - Phone:877-832-7032
Practice Address - Fax:877-611-1622
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0007847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist