Provider Demographics
NPI:1912443581
Name:MCGINNIS, CORTNEY CRAIG JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CORTNEY
Middle Name:CRAIG
Last Name:MCGINNIS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CORT
Other - Middle Name:CRAIG
Other - Last Name:MCGINNIS
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2990 E BUSINESS 190
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-2515
Mailing Address - Country:US
Mailing Address - Phone:254-547-9755
Mailing Address - Fax:
Practice Address - Street 1:2990 E BUSINESS 190
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-2515
Practice Address - Country:US
Practice Address - Phone:254-547-9755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58872183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist