Provider Demographics
NPI:1487980215
Name:MCCARTHY, MINDY (PHARM D)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1076 CY AVE
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-3561
Mailing Address - Country:US
Mailing Address - Phone:307-266-0156
Mailing Address - Fax:307-266-4982
Practice Address - Street 1:1076 CY AVE
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-3561
Practice Address - Country:US
Practice Address - Phone:307-266-0156
Practice Address - Fax:307-266-4982
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY3105183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist