Provider Demographics
NPI:1427242668
Name:MACNEILL, STEVEN (RPH)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:MACNEILL
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 1:15 SUDBURY RD
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:MA
Mailing Address - Zip Code:01775-1511
Mailing Address - Country:US
Mailing Address - Phone:978-201-5247
Mailing Address - Fax:
Practice Address - Street 1:15 SUDBURY RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:MA
Practice Address - Zip Code:01775-1511
Practice Address - Country:US
Practice Address - Phone:978-201-5247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist