Provider Demographics
NPI:1750604708
Name:MCGEE, MATTHEW J (PHARMD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:J
Last Name:MCGEE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1887 ELMIRA ST
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-9249
Mailing Address - Country:US
Mailing Address - Phone:570-888-3729
Mailing Address - Fax:570-888-5199
Practice Address - Street 1:1887 ELMIRA ST
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-9249
Practice Address - Country:US
Practice Address - Phone:570-888-3729
Practice Address - Fax:570-888-5199
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist