Provider Demographics
NPI:1407841844
Name:MCGIRR, JAMES BRUCE (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BRUCE
Last Name:MCGIRR
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 1:2546 E 2ND
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-2062
Mailing Address - Country:US
Mailing Address - Phone:307-472-0597
Mailing Address - Fax:307-237-7731
Practice Address - Street 1:2546 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-2047
Practice Address - Country:US
Practice Address - Phone:307-472-0597
Practice Address - Fax:307-237-7731
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1869183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist