# MCCONAGHY DRUG , INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOUNT VERNON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841366481
- **Authorized official:** DAN MCCONAGHY RPH (CFL)
- **Authorized official phone:** (251) 675-2070

## Contact information

- **Practice address:** 19390 HWY 43 AND MILDRED STREET, MOUNT VERNON, AL 36560
- **Practice address phone:** (251) 829-5436
- **Practice address fax:** (251) 829-6668
- **Mailing address:** PO BOX 160, MOUNT VERNON, AL 36560-0160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 107035 | AL | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 11/12/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100001489 | — | AL |
| 01 | — | 1990464 | PK | — |