MEDICARE: MRS. LAURA LEIGH MCCARY R.PH

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	12238	AL
2	183500000X	Pharmacist	RPH017828	GA

General Provider Information

NPI Number	:	1619192721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA LEIGH MCCARY R.PH

Provider Business Mailing Address
First Line	:	6057 STEEPLE CHASE DR
Second Line	:
City	:	PINSON
State	:	AL
Zip	:	35126-3486
Country	:	US
Telephone Number	:	205-854-8880
Fax Number	:	205-854-8587

Provider Business Practice Location Address
First Line	:	2402 OLD SPRINGVILLE RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35215-4055
Country	:	US
Telephone Number	:	205-854-8880
Fax Number	:	205-854-8587

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	07/08/2007

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