Provider Demographics
NPI:1568542074
Name:GEE, MICHAEL TAD (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:TAD
Last Name:GEE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 QUAILITY DRIVE
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688
Mailing Address - Country:US
Mailing Address - Phone:707-624-2009
Mailing Address - Fax:707-624-2671
Practice Address - Street 1:1 QUALITY DRIVE
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688
Practice Address - Country:US
Practice Address - Phone:707-624-2009
Practice Address - Fax:707-624-2671
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist