Healthcare Provider Details

I. General information

NPI: 1346994597
Provider Name (Legal Business Name): DAVID MCWETHY JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7188 N SAGINAW RD
MOUNT MORRIS MI
48458-2128
US

IV. Provider business mailing address

517 W SILVER LAKE RD
FENTON MI
48430-2618
US

V. Phone/Fax

Practice location:
  • Phone: 810-687-6263
  • Fax:
Mailing address:
  • Phone: 810-845-6009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5302413570
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302413570
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: