Provider Demographics
NPI:1780080572
Name:MCGARVEY, NEIL
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:MCGARVEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 RITCHIE HWY STE 103
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2704
Mailing Address - Country:US
Mailing Address - Phone:443-949-8373
Mailing Address - Fax:443-949-8375
Practice Address - Street 1:1460 RITCHIE HWY STE 103
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2704
Practice Address - Country:US
Practice Address - Phone:443-949-8373
Practice Address - Fax:443-949-8375
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15068183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist