Provider Demographics
NPI:1427395037
Name:MCCARTHY, MADALYN MAUREEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MADALYN
Middle Name:MAUREEN
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 1:7955 HIGHWAY N
Mailing Address - Street 2:T-2103
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-7382
Mailing Address - Country:US
Mailing Address - Phone:636-625-2820
Mailing Address - Fax:
Practice Address - Street 1:7955 HIGHWAY N
Practice Address - Street 2:T-2103
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-7382
Practice Address - Country:US
Practice Address - Phone:636-625-2820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012041211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist