Provider Demographics
NPI:1083942296
Name:MCGEE, LIDA F (PHARMD)
Entity Type:Individual
Prefix:
First Name:LIDA
Middle Name:F
Last Name:MCGEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 BROWN AVE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075-1105
Mailing Address - Country:US
Mailing Address - Phone:580-371-5823
Mailing Address - Fax:
Practice Address - Street 1:121 N MAIN ST
Practice Address - Street 2:
Practice Address - City:YALE
Practice Address - State:OK
Practice Address - Zip Code:74085-2507
Practice Address - Country:US
Practice Address - Phone:918-387-4183
Practice Address - Fax:918-387-3200
Is Sole Proprietor?:No
Enumeration Date:2009-11-28
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14545183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist