Provider Demographics
NPI:1497097885
Name:CALLAHAN, JOHN T (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:T
Last Name:CALLAHAN
Suffix:
Gender:M
Credentials:RPH
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Mailing Address - Street 1:5853 SANDS WAY APT A
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-4806
Mailing Address - Country:US
Mailing Address - Phone:360-257-9706
Mailing Address - Fax:360-257-9808
Practice Address - Street 1:3475 N SARATOGA ST RM 140
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98278-8209
Practice Address - Country:US
Practice Address - Phone:719-510-8155
Practice Address - Fax:360-257-9808
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-23
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2589183500000X
CO10452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist