Provider Demographics
NPI:1629355623
Name:MCGRAIL, PATRICK M (PHARM D, CGP FASCP)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:M
Last Name:MCGRAIL
Suffix:
Gender:M
Credentials:PHARM D, CGP FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7517 YANKEE ST.
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3454
Mailing Address - Country:US
Mailing Address - Phone:937-436-2590
Mailing Address - Fax:
Practice Address - Street 1:7517 YANKEE ST.
Practice Address - Street 2:ADDRESS 2
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-3454
Practice Address - Country:US
Practice Address - Phone:937-436-2590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-153471835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric