Provider Demographics
NPI:1194007666
Name:MCCOY, MARCA (PHARM D, RPH)
Entity Type:Individual
Prefix:DR
First Name:MARCA
Middle Name:
Last Name:MCCOY
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W MULBERRY ST STE B
Mailing Address - Street 2:
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-1941
Mailing Address - Country:US
Mailing Address - Phone:903-802-1144
Mailing Address - Fax:
Practice Address - Street 1:610 W MALLOY BRIDGE RD
Practice Address - Street 2:
Practice Address - City:SEAGOVILLE
Practice Address - State:TX
Practice Address - Zip Code:75159-3540
Practice Address - Country:US
Practice Address - Phone:972-287-1134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist