Provider Demographics
NPI:1285135954
Name:ROCKY L. MCGARITY, INC.
Entity type:Organization
Organization Name:ROCKY L. MCGARITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ROCKY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCGARITY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:601-947-4941
Mailing Address - Street 1:103 W FRONTAGE RD STE A
Mailing Address - Street 2:
Mailing Address - City:LUCEDALE
Mailing Address - State:MS
Mailing Address - Zip Code:39452-5836
Mailing Address - Country:US
Mailing Address - Phone:601-247-0071
Mailing Address - Fax:
Practice Address - Street 1:103 W FRONTAGE RD STE A
Practice Address - Street 2:
Practice Address - City:LUCEDALE
Practice Address - State:MS
Practice Address - Zip Code:39452-5836
Practice Address - Country:US
Practice Address - Phone:601-247-0071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCKY L. MCGARITY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS01104113336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy