Healthcare Provider Details

I. General information

NPI: 1215050257
Provider Name (Legal Business Name): ROCKY L MCGARITY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 05/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 W FRONTAGE RD STE A
LUCEDALE MS
39452-5836
US

IV. Provider business mailing address

8625 GRANT RD
WILMER AL
36587-3055
US

V. Phone/Fax

Practice location:
  • Phone: 601-947-4941
  • Fax: 601-766-3010
Mailing address:
  • Phone: 251-649-2080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberE7918
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: