Provider Demographics
NPI:1760780563
Name:MCGAUGHEY, HARRY BRYANT (RPH)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:BRYANT
Last Name:MCGAUGHEY
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 1:1002 N HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3905
Mailing Address - Country:US
Mailing Address - Phone:919-462-0038
Mailing Address - Fax:
Practice Address - Street 1:1002 N HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3905
Practice Address - Country:US
Practice Address - Phone:919-467-1131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11971183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist