Organization
MCCONAGHY DRUG , INC
Active
Other names
MOUNT VERNON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MCCONAGHY RPH (CFL)
(251) 675-2070
Entity
Organization
Contact information
Practice address
19390 HWY 43 AND MILDRED STREET, MOUNT VERNON, AL 36560
(251) 829-5436
(251) 829-6668
Mailing address
PO BOX 160, MOUNT VERNON, AL 36560-0160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
107035
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001489
—
AL
01
—
1990464
PK
—
Enumeration date
11/27/2006
Last updated
11/12/2021
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