Provider Demographics
NPI:1710318746
Name:MAGEE, MELISSA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:MAGEE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34876 LA HIGHWAY 1019
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-0659
Mailing Address - Country:US
Mailing Address - Phone:225-667-4286
Mailing Address - Fax:225-664-1682
Practice Address - Street 1:34876 LA HIGHWAY 1019
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-0659
Practice Address - Country:US
Practice Address - Phone:225-667-4286
Practice Address - Fax:225-664-1682
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA015841183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist