Provider Demographics
NPI:1316221484
Name:MCCARTHY, MARY BRIDGET (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:BRIDGET
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4706 42ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4500
Mailing Address - Country:US
Mailing Address - Phone:206-932-8045
Mailing Address - Fax:
Practice Address - Street 1:4706 42ND AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4500
Practice Address - Country:US
Practice Address - Phone:206-932-8045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60095047183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist