Provider Demographics
NPI:1982096491
Name:MCGEE, CLARISSA (CPHT)
Entity Type:Individual
Prefix:
First Name:CLARISSA
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4211 TRUEMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2480
Mailing Address - Country:US
Mailing Address - Phone:614-876-7089
Mailing Address - Fax:
Practice Address - Street 1:4211 TRUEMAN BLVD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2480
Practice Address - Country:US
Practice Address - Phone:614-876-7089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-21
Last Update Date:2015-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician