Provider Demographics
NPI:1790090710
Name:MAGEE, MARCIA PINELL (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:PINELL
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 1:4955 HIGHWAY 6 N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2718
Mailing Address - Country:US
Mailing Address - Phone:281-463-9148
Mailing Address - Fax:281-463-9165
Practice Address - Street 1:4955 HIGHWAY 6 N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-2718
Practice Address - Country:US
Practice Address - Phone:281-463-9148
Practice Address - Fax:281-463-9165
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28649183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX465092Medicaid
TX1275642241OtherSTORE NPI