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NPI Code Detail

MEDICARE: ANTHONY MCCARTY JR. PHARM.D

MEDICARE: ANTHONY MCCARTY JR. PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistE-13716MS

General Provider Information

NPI Number : 1801279153
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY MCCARTY JR. PHARM.D
Provider Business Mailing Address
First Line : 4315 HIGHWAY 39 N
Second Line : APT 8H
City : MERIDIAN
State : MS
Zip : 39301-1020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1005 W BEACON ST
Second Line :
City : PHILADELPHIA
State : MS
Zip : 39350-3203
Country : US
Telephone Number : 601-389-1119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2015
Last Update Date : 07/06/2015

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