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Organization

MCCOY'S PHARMACY INC

Active
Other names
MCCOY'S PHARMACY & GIFT SHOP
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID ANTONINO DEBYSINGH RPH (PRESIDENT)
(541) 942-4453
Entity
Organization

Contact information

Practice address
632 E MAIN ST, COTTAGE GROVE, OR 97424-2038
(541) 942-4453
(541) 942-4454
Mailing address
632 E MAIN ST, COTTAGE GROVE, OR 97424-2038
(541) 942-4453
(541) 942-4454

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8454
OR
332B00000X
Durable Medical Equipment & Medical Supplies
8454
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119578
OR
01
3801481
NABP
OR
Enumeration date
09/15/2006
Last updated
04/23/2008
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