Provider Demographics
NPI:1336877810
Name:MCGRAW-SENAT, CANDIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:CANDIS
Middle Name:
Last Name:MCGRAW-SENAT
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 1:1122 HAMPTON WAY NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-4706
Mailing Address - Country:US
Mailing Address - Phone:215-317-7520
Mailing Address - Fax:
Practice Address - Street 1:3445 PEACHTREE RD NE STE 1200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-3251
Practice Address - Country:US
Practice Address - Phone:470-867-3618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GANA183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPDTM000059OtherPHARMACIST CERTIFICATION OF DRUG THERAPY MANAGEMENT
PARPH447837OtherPENNSYLVANIA BOARD OF PHARMACY
GARPH028883OtherGEORGIA BOARD OF PHARMACY PHARMACIST LICENSE