Provider Demographics
NPI:1740322627
Name:MCCOOL, MARGARET ALLISON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ALLISON
Last Name:MCCOOL
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 1:624 ROPER DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38019-2836
Mailing Address - Country:US
Mailing Address - Phone:901-476-9871
Mailing Address - Fax:
Practice Address - Street 1:201 LAKEVIEW DRIVE
Practice Address - Street 2:SUITE C
Practice Address - City:SOMERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38068
Practice Address - Country:US
Practice Address - Phone:901-465-9243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS09881183500000X
TN0000024499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist