Provider Demographics
NPI:1679332019
Name:MCCARTHY, HELEN THERESA (RPH)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:THERESA
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WINSIDE LN
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-1134
Mailing Address - Country:US
Mailing Address - Phone:631-455-4137
Mailing Address - Fax:
Practice Address - Street 1:45 WINSIDE LN
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-1134
Practice Address - Country:US
Practice Address - Phone:631-455-4137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist