Provider Demographics
NPI:1003025396
Name:MCGEE, EDWARD DANIEL JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:DANIEL
Last Name:MCGEE
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:491 CANAAN ST
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:NH
Mailing Address - Zip Code:03741-7626
Mailing Address - Country:US
Mailing Address - Phone:603-523-7478
Mailing Address - Fax:603-632-4585
Practice Address - Street 1:505 US ROUTE 4
Practice Address - Street 2:BROOKSIDE PLAZA
Practice Address - City:ENFIELD
Practice Address - State:NH
Practice Address - Zip Code:03748-3200
Practice Address - Country:US
Practice Address - Phone:603-632-5720
Practice Address - Fax:603-632-4585
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH1741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist