Healthcare Provider Details

I. General information

NPI: 1467486233
Provider Name (Legal Business Name): CONNER & MCCONAGHY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5567 HIGHWAY 43
SATSUMA AL
36572-2108
US

IV. Provider business mailing address

PO BOX 558
SATSUMA AL
36572-0558
US

V. Phone/Fax

Practice location:
  • Phone: 251-675-3228
  • Fax: 251-675-4209
Mailing address:
  • Phone: 251-675-3228
  • Fax: 251-675-4209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number102030
License Number StateAL

VIII. Authorized Official

Name: DAN MCCONAGHY
Title or Position: OWNER
Credential:
Phone: 251-675-3228