Healthcare Provider Details

I. General information

NPI: 1811132129
Provider Name (Legal Business Name): MCKINSEY HUFF PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MARKET PLACE DR
DALEVILLE VA
24083-3255
US

IV. Provider business mailing address

1230 OLD HOLLOW RD
BUCHANAN VA
24066-4971
US

V. Phone/Fax

Practice location:
  • Phone: 540-992-5757
  • Fax:
Mailing address:
  • Phone: 276-608-0319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202208460
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: