Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY D MCCUAN, RPH
Deactivated Sole ProprietorMR. JERRY D MCCUAN, RPH is a Pharmacist healthcare provider located in RALLS, Texas. NPI 1659411601 is deactivated in the NPPES registry. Verify at CMS.
Pharmacist · RALLS, TX
This NPI has been deactivated.
The record was deactivated on July 17, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1659411601
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2007 (0.43835616438356 yrs)
- Last Updated
- Feb 19, 2008
- Deactivated
- Jul 17, 2007
- License
-
17541 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
821 MAIN STRALLS, TX, 79357Browse TX providers · Browse ZIP 79357
- Phone
- 8062532256
- Fax
- 8062532401
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.