MEDICARE: BRUCE MCANALLY RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	23328	TX

General Provider Information

NPI Number	:	1013069707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE MCANALLY RPH

Provider Business Mailing Address
First Line	:	2535 ELDORADO PKWY
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-4366
Country	:	US
Telephone Number	:	214-734-8878
Fax Number	:	972-562-3220

Provider Business Practice Location Address
First Line	:	2535 ELDORADO PKWY
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-4366
Country	:	US
Telephone Number	:	214-734-8878
Fax Number	:	972-562-3220

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/08/2007

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