Provider Demographics
NPI:1740882505
Name:MAGEE, CHERIE MARIE
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:MARIE
Last Name:MAGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 E LUCY WEBB RD
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-9422
Mailing Address - Country:US
Mailing Address - Phone:816-683-1117
Mailing Address - Fax:
Practice Address - Street 1:1210 E LUCY WEBB RD
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-9422
Practice Address - Country:US
Practice Address - Phone:816-683-1117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO043596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist