Provider Demographics
NPI:1396920179
Name:MCCARTY, SHIRLEY PEEPLES (RPH)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:PEEPLES
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13435 MCCALL RD
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33981-6422
Mailing Address - Country:US
Mailing Address - Phone:941-697-7826
Mailing Address - Fax:941-697-7826
Practice Address - Street 1:13435 MCCALL RD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33981-6422
Practice Address - Country:US
Practice Address - Phone:941-697-7826
Practice Address - Fax:941-697-7826
Is Sole Proprietor?:No
Enumeration Date:2007-12-30
Last Update Date:2007-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS18492183500000X
TX24829183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist