Provider Demographics
NPI:1760829949
Name:MCCROREY, ANN MCELWEE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MCELWEE
Last Name:MCCROREY
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 1:503 CHESTER AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREAT FALLS
Mailing Address - State:SC
Mailing Address - Zip Code:29055-1207
Mailing Address - Country:US
Mailing Address - Phone:803-482-2249
Mailing Address - Fax:803-482-3349
Practice Address - Street 1:503 CHESTER AVE
Practice Address - Street 2:SUITE A
Practice Address - City:GREAT FALLS
Practice Address - State:SC
Practice Address - Zip Code:29055-1207
Practice Address - Country:US
Practice Address - Phone:803-482-2249
Practice Address - Fax:803-482-3349
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6843183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist