Provider Demographics
NPI:1205446291
Name:MCELROY, LEE ANN (RPH)
Entity type:Individual
Prefix:MS
First Name:LEE
Middle Name:ANN
Last Name:MCELROY
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 1:1107 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BIG LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76932
Mailing Address - Country:US
Mailing Address - Phone:806-773-4968
Mailing Address - Fax:
Practice Address - Street 1:116 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:BIG LAKE
Practice Address - State:TX
Practice Address - Zip Code:76932-5211
Practice Address - Country:US
Practice Address - Phone:325-716-1800
Practice Address - Fax:325-716-1124
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27268183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist