Provider Demographics
NPI:1124356282
Name:MCNEELY, MARCY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARCY
Middle Name:
Last Name:MCNEELY
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 1:1808 MEYER ST
Mailing Address - Street 2:
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-3930
Mailing Address - Country:US
Mailing Address - Phone:979-877-0251
Mailing Address - Fax:979-877-0841
Practice Address - Street 1:1808 MEYER ST
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-3930
Practice Address - Country:US
Practice Address - Phone:979-877-0251
Practice Address - Fax:979-877-0841
Is Sole Proprietor?:No
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist