Provider Demographics
NPI:1235273707
Name:MCCALL, JEANNE ANN (R PH)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:ANN
Last Name:MCCALL
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 585
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:NC
Mailing Address - Zip Code:28738-0585
Mailing Address - Country:US
Mailing Address - Phone:828-456-6658
Mailing Address - Fax:
Practice Address - Street 1:630 CHAMPION DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NC
Practice Address - Zip Code:28716-3032
Practice Address - Country:US
Practice Address - Phone:828-235-2795
Practice Address - Fax:828-235-8276
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7059183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist