MEDICARE: MCCAY'S TOTAL CARE PHARMACY, 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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1871125203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCAY'S TOTAL CARE PHARMACY, LLC

Provider Business Mailing Address
First Line	:	260 BOGGS LN
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2591
Country	:	US
Telephone Number	:	859-623-4216
Fax Number	:	859-623-4218

Provider Business Practice Location Address
First Line	:	260 BOGGS LN
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2591
Country	:	US
Telephone Number	:	859-623-4216
Fax Number	:	859-623-4218

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS ASHLEY MCCAY
Credential	:	RPH.
Telephone Number	:	859-623-4216

Provider Enumeration Date	:	02/04/2020
Last Update Date	:	02/04/2020

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