Provider Demographics
NPI:1922129477
Name:MACRI, JOHN J (RPH)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:MACRI
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 1:93 WEST CAMPBELL RD
Mailing Address - Street 2:
Mailing Address - City:SCHNECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306
Mailing Address - Country:US
Mailing Address - Phone:518-372-2256
Mailing Address - Fax:518-377-6945
Practice Address - Street 1:93 W CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-6800
Practice Address - Country:US
Practice Address - Phone:518-372-2256
Practice Address - Fax:518-377-6945
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036142183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist