Provider Demographics
NPI:1801284120
Name:MCKAY, DANA
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:MCKAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 N 73RD ST
Mailing Address - Street 2:UNIT 1099
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1027
Mailing Address - Country:US
Mailing Address - Phone:602-828-3070
Mailing Address - Fax:
Practice Address - Street 1:9850 N 73RD ST
Practice Address - Street 2:UNIT 1099
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1027
Practice Address - Country:US
Practice Address - Phone:602-828-3070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS020260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist