Provider Demographics
NPI:1629672621
Name:MCGEHEE, JOSH RYAN (PHARM D)
Entity Type:Individual
Prefix:PROF
First Name:JOSH
Middle Name:RYAN
Last Name:MCGEHEE
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 1:820 N VERMILION ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-3920
Mailing Address - Country:US
Mailing Address - Phone:217-431-0010
Mailing Address - Fax:217-431-6194
Practice Address - Street 1:820 N VERMILION ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-3920
Practice Address - Country:US
Practice Address - Phone:217-431-0010
Practice Address - Fax:217-431-6194
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.294010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist