Healthcare Provider Details

I. General information

NPI: 1619243870
Provider Name (Legal Business Name): MEGAN ADELAIDE MCKEE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2012
Last Update Date: 03/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 MERTON MINTER ST DEPT 119
SAN ANTONIO TX
78229-4404
US

IV. Provider business mailing address

1534 BEAUCHAMP ST
SAN ANTONIO TX
78213-1210
US

V. Phone/Fax

Practice location:
  • Phone: 520-245-6986
  • Fax:
Mailing address:
  • Phone: 520-245-6986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number46368
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: