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NPI Code Detail

MEDICARE: DR. CORTNEY CRAIG MCGINNIS JR. PHARM.D.

MEDICARE: DR. CORTNEY CRAIG MCGINNIS JR. PHARM.D.
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
1183500000XPharmacist58872TX

General Provider Information

NPI Number : 1912443581
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CORTNEY CRAIG MCGINNIS JR. PHARM.D.
Provider Business Mailing Address
First Line : 2990 E BUSINESS 190
Second Line :
City : COPPERAS COVE
State : TX
Zip : 76522-2515
Country : US
Telephone Number : 254-547-9755
Fax Number :
Provider Business Practice Location Address
First Line : 2990 E BUSINESS 190
Second Line :
City : COPPERAS COVE
State : TX
Zip : 76522-2515
Country : US
Telephone Number : 254-547-9755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2017
Last Update Date : 01/06/2017

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