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NPI Code Detail

MEDICARE: DR. KEVIN MCCAULEY PHARMD

MEDICARE:  DR. KEVIN  MCCAULEY  PHARMD
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
1183500000XPharmacist50788TX

General Provider Information

NPI Number : 1639449788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN MCCAULEY PHARMD
Provider Business Mailing Address
First Line : 4901 E STATE HIGHWAY 107 # 243
Second Line :
City : EDINBURG
State : TX
Zip : 78542-9723
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2301 N SHARY RD
Second Line :
City : MISSION
State : TX
Zip : 78574-3241
Country : US
Telephone Number : 956-585-7743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2012
Last Update Date : 01/06/2012

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Directions to “ DR. KEVIN MCCAULEY PHARMD” Practice Location

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