Provider Demographics
NPI:1669426318
Name:MCLACHLAN, JOHN EMMETT (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:EMMETT
Last Name:MCLACHLAN
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 1:941 KNOTTINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:IL
Mailing Address - Zip Code:61350-4225
Mailing Address - Country:US
Mailing Address - Phone:815-433-2255
Mailing Address - Fax:815-434-0391
Practice Address - Street 1:411 W MAIN ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:IL
Practice Address - Zip Code:61350-2801
Practice Address - Country:US
Practice Address - Phone:815-433-2255
Practice Address - Fax:815-434-0391
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist