Provider Demographics
NPI:1710226980
Name:MCLARTY, GEORGE COLLINS JR (RPH)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:COLLINS
Last Name:MCLARTY
Suffix:JR
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 1:716 SKEET CLUB RD
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1241
Mailing Address - Country:US
Mailing Address - Phone:336-869-4925
Mailing Address - Fax:336-869-8821
Practice Address - Street 1:716 SKEET CLUB RD
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1241
Practice Address - Country:US
Practice Address - Phone:336-869-4925
Practice Address - Fax:336-869-8821
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC04481183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist