Provider Demographics
NPI:1356951727
Name:MCGLADRIGAN, CONOR GERALD (PHARMD, JD)
Entity type:Individual
Prefix:DR
First Name:CONOR
Middle Name:GERALD
Last Name:MCGLADRIGAN
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Gender:M
Credentials:PHARMD, JD
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Mailing Address - Street 1:102 ENDICOTT STREET
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923
Mailing Address - Country:US
Mailing Address - Phone:978-882-6464
Mailing Address - Fax:978-882-6065
Practice Address - Street 1:102 ENDICOTT STREET
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923
Practice Address - Country:US
Practice Address - Phone:978-882-6464
Practice Address - Fax:978-882-6065
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAPH235922183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist