Provider Demographics
NPI:1679973671
Name:MCHALE, JOHN JOSEPH IV (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:MCHALE
Suffix:IV
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:SEAN
Other - Middle Name:
Other - Last Name:MCHALE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:415 S 48TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2358
Mailing Address - Country:US
Mailing Address - Phone:480-296-0222
Mailing Address - Fax:480-264-0495
Practice Address - Street 1:415 S 48TH ST STE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2358
Practice Address - Country:US
Practice Address - Phone:480-296-0222
Practice Address - Fax:480-264-0495
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist