MEDICARE: MCS PHARMACEUTICS LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	183500000X	Pharmacist	9113	KY

General Provider Information

NPI Number	:	1194719096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCS PHARMACEUTICS LLC

Provider Business Mailing Address
First Line	:	435 LAKOTA DR
Second Line	:
City	:	CADIZ
State	:	KY
Zip	:	42211-6107
Country	:	US
Telephone Number	:	270-522-3441
Fax Number	:	270-522-1616

Provider Business Practice Location Address
First Line	:	435 LAKOTA DR
Second Line	:
City	:	CADIZ
State	:	KY
Zip	:	42211-6107
Country	:	US
Telephone Number	:	270-522-3441
Fax Number	:	270-522-1616

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MARY CATHERINE SMITH
Credential	:
Telephone Number	:	270-522-3441

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	03/06/2017

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Directions to “MCS PHARMACEUTICS LLC ” Practice Location

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