Provider Demographics
NPI:1215362181
Name:MCDADE, CRAIG WILLIAM (RPH MBA)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:WILLIAM
Last Name:MCDADE
Suffix:
Gender:M
Credentials:RPH MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6113 W MONTEBELLO WAY
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85132-6778
Mailing Address - Country:US
Mailing Address - Phone:480-215-8935
Mailing Address - Fax:
Practice Address - Street 1:6113 W MONTEBELLO WAY
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85132-6778
Practice Address - Country:US
Practice Address - Phone:480-215-8935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS010786183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist