Healthcare Provider Details

I. General information

NPI: 1073680302
Provider Name (Legal Business Name): CAYE MARGARET MCCONAGHY RPH, PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5565 HWY 43
SATSUMA AL
36572
US

IV. Provider business mailing address

1710 WOODFOREST DR
SEMMES AL
36575
US

V. Phone/Fax

Practice location:
  • Phone: 251-675-2070
  • Fax: 251-675-7785
Mailing address:
  • Phone: 251-648-7896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14883
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: