Healthcare Provider Details

I. General information

NPI: 1346526217
Provider Name (Legal Business Name): MAIRE BRIDGET MCGINN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2011
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 EAST RIDGE ROAD
HENRICO VA
23229
US

IV. Provider business mailing address

1510 EASTRIDGE RD
HENRICO VA
23229-5740
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-4396
  • Fax: 804-288-2874
Mailing address:
  • Phone: 804-288-4396
  • Fax: 804-288-2874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202206631
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: