Provider Demographics
NPI:1437479706
Name:MAGEE, CALVIN J (PHARM D)
Entity Type:Individual
Prefix:
First Name:CALVIN
Middle Name:J
Last Name:MAGEE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6206
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70174-6206
Mailing Address - Country:US
Mailing Address - Phone:504-872-9882
Mailing Address - Fax:504-872-9781
Practice Address - Street 1:3201 GENERAL MEYER AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-3201
Practice Address - Country:US
Practice Address - Phone:504-872-9882
Practice Address - Fax:504-872-9781
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16425183500000X
MS010643183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist