Provider Demographics
NPI:1376956136
Name:MCNEILL, TROY (RPH)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:
Last Name:MCNEILL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 US HIGHWAY 70
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-9103
Mailing Address - Country:US
Mailing Address - Phone:828-669-2941
Mailing Address - Fax:828-669-3685
Practice Address - Street 1:2913 US HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-9103
Practice Address - Country:US
Practice Address - Phone:828-669-2941
Practice Address - Fax:828-669-3685
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist