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Contact Information

JERRY D MCCUAN, RPH
821 MAIN ST
RALLS, TX79357
 Phone: 806-253-2256
 Fax: 806-253-2401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JERRY D MCCUAN · (Male)

NPI # 1659411601
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 02/07/2007
Last updated 02/19/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 17541
  • TX Medicaid 140384
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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