Provider Demographics
NPI:1184344418
Name:SMYTH, MCQUAID (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MCQUAID
Middle Name:
Last Name:SMYTH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2970 EGGERT RD
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-7162
Mailing Address - Country:US
Mailing Address - Phone:716-510-7714
Mailing Address - Fax:
Practice Address - Street 1:5735 S TRANSIT RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-5864
Practice Address - Country:US
Practice Address - Phone:716-438-2748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist