Provider Demographics
NPI:1326416058
Name:MCGRADY, ELIZABETH COLLEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:COLLEEN
Last Name:MCGRADY
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 1:403 CONSTANT FRIENDSHIP BLVD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2566
Mailing Address - Country:US
Mailing Address - Phone:410-670-9001
Mailing Address - Fax:443-409-3125
Practice Address - Street 1:403 CONSTANT FRIENDSHIP BLVD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2566
Practice Address - Country:US
Practice Address - Phone:410-670-9001
Practice Address - Fax:443-409-3125
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-11
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA10004822183500000X
MD24081183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist