Provider Demographics
NPI:1346332111
Name:MCGEE, DAVID ELDON (PHARMACIST BS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ELDON
Last Name:MCGEE
Suffix:
Gender:M
Credentials:PHARMACIST BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 GREENBRIER AVE
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160
Mailing Address - Country:US
Mailing Address - Phone:931-684-6021
Mailing Address - Fax:931-684-7165
Practice Address - Street 1:842 UNION ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-2608
Practice Address - Country:US
Practice Address - Phone:931-684-7936
Practice Address - Fax:931-684-7165
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2235183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2235OtherPHARMACIST LICENSE