Provider Demographics
NPI:1922431246
Name:MCCLUGHEN, MARY E (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:E
Last Name:MCCLUGHEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 DARBYSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45177-2411
Mailing Address - Country:US
Mailing Address - Phone:937-728-6720
Mailing Address - Fax:
Practice Address - Street 1:850 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1702
Practice Address - Country:US
Practice Address - Phone:740-779-2905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-11
Last Update Date:2013-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03233160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist