Provider Demographics
NPI:1922201995
Name:MCPHAIL'S PHARMACY, INC.
Entity type:Organization
Organization Name:MCPHAIL'S PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:NMN
Authorized Official - Last Name:MCPHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:910-893-4544
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:NC
Mailing Address - Zip Code:28339-0429
Mailing Address - Country:US
Mailing Address - Phone:910-897-7165
Mailing Address - Fax:910-897-4601
Practice Address - Street 1:105 E H ST
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:NC
Practice Address - Zip Code:28339-2143
Practice Address - Country:US
Practice Address - Phone:910-897-7165
Practice Address - Fax:910-897-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC04171332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7700609Medicaid
NC0340EOtherBLUE CROSS BLUE SHIELD
0308370001Medicare NSC