Organization
MCCONAGHY DRUG STORE INC
Active
Other names
Millry Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN C MCCONAGHY RPH (VP)
(251) 846-6290
Entity
Organization
Contact information
Practice address
30282 HWY 17, MILLRY, AL 36558
(251) 846-6290
(251) 846-6208
Mailing address
P.O.BOX 199, 30282 HWY 17, MILLRY, AL 36558
(251) 846-6290
(251) 846-6208
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
111191
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127983
NCPDP
AL
05
—
100002969
—
AL
Enumeration date
05/11/2007
Last updated
02/16/2011
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