David Douglas Mcintire | Tyler, TX • PECOS Search

David Douglas Mcintire

Pharmacist

Pharmacy Service Providers

6991 Old Jacksonville Hwy, Tyler, TX 75703-0579

PECOS Enrollment

Based on the most recent information from CMS, provider David Douglas Mcintire does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1346593464
Provider Type
Individual
Full Name
Mcintire, David Douglas
Credential
R.PH.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/26/2012
Last Updated
10/26/2012

Contact Information

Practice Location

6991 Old Jacksonville Hwy, Tyler, TX 75703-0579

Unlisted Fax

Mailing Location

6991 Old Jacksonville Hwy, Tyler, TX 75703-0579

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 21984 Texas