Provider Demographics
NPI:1811005507
Name:MCPHAIL'S PHARMACY INC
Entity Type:Organization
Organization Name:MCPHAIL'S PHARMACY INC
Other - Org Name:MCPHAIL'S PHARMACY OF LILLINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:910-893-4544
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-0609
Mailing Address - Country:US
Mailing Address - Phone:910-893-4544
Mailing Address - Fax:910-814-2396
Practice Address - Street 1:815 WEST FRONT ST
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-9735
Practice Address - Country:US
Practice Address - Phone:910-893-4544
Practice Address - Fax:910-814-2396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1372332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0466XOtherBLUE CROSS BLUE SHIELD
NC7700602Medicaid
NC7700602Medicaid