Provider Demographics
NPI:1871193391
Name:MCQUADE, CHRISTY (RPH)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:
Last Name:MCQUADE
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 1:308 DEBBIA DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-9263
Mailing Address - Country:US
Mailing Address - Phone:859-771-8658
Mailing Address - Fax:
Practice Address - Street 1:820 BYPASS RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-1002
Practice Address - Country:US
Practice Address - Phone:859-623-6802
Practice Address - Fax:859-623-9957
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist