Provider Demographics
NPI:1356445316
Name:MCGEES PHARMACY
Entity Type:Organization
Organization Name:MCGEES PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/P.I.C./R.PH.
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:318-409-4075
Mailing Address - Street 1:470 ACTON RD
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-2932
Mailing Address - Country:US
Mailing Address - Phone:318-409-4075
Mailing Address - Fax:318-409-4112
Practice Address - Street 1:470 ACTON RD
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-2932
Practice Address - Country:US
Practice Address - Phone:318-409-4075
Practice Address - Fax:318-409-4112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
LA0047063336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1930355OtherOTHER ID NUMBER
1930355OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1930355OtherOTHER ID NUMBER