Provider Demographics
NPI:1699012740
Name:MCGREGOR, JACQUELINE E (PHARMD)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:E
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:E
Other - Last Name:EASTWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5180 MCGINNIS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-1792
Mailing Address - Country:US
Mailing Address - Phone:770-360-1030
Mailing Address - Fax:
Practice Address - Street 1:5180 MCGINNIS FERRY RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-1792
Practice Address - Country:US
Practice Address - Phone:770-360-1030
Practice Address - Fax:770-360-1035
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH026179183500000X
FLPS45238183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist