Provider Demographics
NPI:1326328816
Name:MCGAUGHEY, TRACY L (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:L
Last Name:MCGAUGHEY
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 1:4401 GULF BLVD
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33706-3832
Mailing Address - Country:US
Mailing Address - Phone:727-367-7754
Mailing Address - Fax:727-367-7784
Practice Address - Street 1:4401 GULF BLVD
Practice Address - Street 2:
Practice Address - City:ST PETE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33706-3832
Practice Address - Country:US
Practice Address - Phone:727-367-7754
Practice Address - Fax:727-367-7784
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-28
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist