Provider Demographics
NPI:1285204198
Name:MCGINTY, NOHORA CONSTANZA (PHARM D)
Entity Type:Individual
Prefix:
First Name:NOHORA
Middle Name:CONSTANZA
Last Name:MCGINTY
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 1:15400 CHENAL PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2297
Mailing Address - Country:US
Mailing Address - Phone:501-708-4320
Mailing Address - Fax:
Practice Address - Street 1:15400 CHENAL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2297
Practice Address - Country:US
Practice Address - Phone:501-708-4320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD15794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist