Provider Demographics
NPI:1821711904
Name:GAGE, BRITTANY (RPH)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:GAGE
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 1:113 EAGLE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5853
Mailing Address - Country:US
Mailing Address - Phone:281-733-9741
Mailing Address - Fax:
Practice Address - Street 1:959 BAY AREA BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2603
Practice Address - Country:US
Practice Address - Phone:281-212-8040
Practice Address - Fax:281-212-8046
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist