Provider Demographics
NPI:1881984045
Name:MCKAY, JUDY S (R PH)
Entity type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:S
Last Name:MCKAY
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 W FREEDOM AVE
Mailing Address - Street 2:
Mailing Address - City:BURNHAM
Mailing Address - State:PA
Mailing Address - Zip Code:17009-1859
Mailing Address - Country:US
Mailing Address - Phone:717-242-4478
Mailing Address - Fax:
Practice Address - Street 1:331 W FREEDOM AVE
Practice Address - Street 2:
Practice Address - City:BURNHAM
Practice Address - State:PA
Practice Address - Zip Code:17009-1859
Practice Address - Country:US
Practice Address - Phone:717-242-4478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist