Organization
MCCRORY'S PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY 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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03322
TX
3336C0004X
Compounding Pharmacy
03322
TX
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4567256
NCPDP
—
01
—
P00054950
MEDICARE/RR RETIREMENT
TX
01
—
PH0382
MEDICARE/TRAILBLAZER
TX
Enumeration date
02/05/2007
Last updated
04/15/2008
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