MEDICARE: MS. PHAEDRA MCLAUGHLIN PMP, CPC, PAHM, CPHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	37723	NC
2	183700000X	Pharmacy Technician	0019458	CO
3	183700000X	Pharmacy Technician	23878441	WI
4	183700000X	Pharmacy Technician	0230023306	VA
5	183700000X	Pharmacy Technician	049283791	IL

General Provider Information

NPI Number	:	1083974091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PHAEDRA MCLAUGHLIN PMP, CPC, PAHM, CPHT

Provider Business Mailing Address
First Line	:	12941 NORTH FWY STE 800-9
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-1240
Country	:	US
Telephone Number	:	281-946-7400
Fax Number	:	281-916-2966

Provider Business Practice Location Address
First Line	:	12941 NORTH FWY STE 800-9
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-1240
Country	:	US
Telephone Number	:	281-946-7400
Fax Number	:	281-916-2966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2012
Last Update Date	:	03/03/2026

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