Mr Jerry D Mccuan, RPH is a
Pharmacist based in Ralls, Texas. Mr Jerry D Mccuan is licensed to practice in Texas (license number 17541) and his current practice location is
821 Main St, Ralls, Texas. He can be reached at his office (for appointments etc.) via phone at
(806) 253-2256.
NPI number for Mr Jerry D Mccuan is 1659411601 and his current mailing address is Po Box 759, 821 Main St, Ralls, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659411601.
Healthcare Provider's Profile
| Full Name | Mr Jerry D Mccuan |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 821 Main St, Ralls, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659411601
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 02/19/2008
Medical Identifiers
Medical identifiers for Mr Jerry D Mccuan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659411601 | NPI | - | NPPES |
| 140384 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 17541 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jerry D Mccuan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jerry D Mccuan, RPH
Po Box 759, 821 Main St,
Ralls, TX 79357-0759
Ph: (806) 253-2256 | Mr Jerry D Mccuan, RPH
821 Main St,
Ralls, TX 79357
Ph: (806) 253-2256 |
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