Provider Demographics
NPI:1639150030
Name:MACARTNEY, BRUCE (RPH)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:
Last Name:MACARTNEY
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 1:32 KAILA CT
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3244
Mailing Address - Country:US
Mailing Address - Phone:215-206-9546
Mailing Address - Fax:208-723-6557
Practice Address - Street 1:728 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-3435
Practice Address - Country:US
Practice Address - Phone:215-362-5384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031849-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP031849-LOtherSTATE PHARMACY LICENSE