Organization
MC CRORY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY EDWIN MCCRORY RPH. (PRESIDENT)
(915) 581-9655
Entity
Organization
Contact information
Practice address
6151 DEW DR, SUITE 100, EL PASO, TX 79912-3909
(915) 581-9655
(915) 587-6556
Mailing address
6151 DEW DR, SUITE 100, EL PASO, TX 79912-3909
(915) 581-9655
(915) 587-6556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
03322
TX
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013618601
—
TX
05
—
091554801
—
TX
05
—
091554802
—
TX
01
—
4567256
NCPDP/PHARMACY
—
Enumeration date
09/14/2005
Last updated
05/15/2012
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