Provider Demographics
NPI:1255732673
Name:MCGARRY, MALLORY (PHARMD)
Entity type:Individual
Prefix:
First Name:MALLORY
Middle Name:
Last Name:MCGARRY
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 1:739 N HIGHWAY 67
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2142
Mailing Address - Country:US
Mailing Address - Phone:972-291-6149
Mailing Address - Fax:469-454-3184
Practice Address - Street 1:739 N HIGHWAY 67
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2142
Practice Address - Country:US
Practice Address - Phone:972-291-6183
Practice Address - Fax:469-454-3184
Is Sole Proprietor?:No
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist