Provider Demographics
NPI:1134431398
Name:MCGRATH, JENNIFER (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:MAUGLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:905 WADE LN
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-7606
Mailing Address - Country:US
Mailing Address - Phone:814-934-9816
Mailing Address - Fax:
Practice Address - Street 1:1665 N ATHERTON ST
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-1417
Practice Address - Country:US
Practice Address - Phone:814-207-1873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-04
Last Update Date:2010-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443350183500000X
NY054541183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist