MEDICARE: DR. ELLECYA R. MCCANTS PHARM.D.

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	183500000X	Pharmacist	40481	TX
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	40481	TX
3	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	21783	FL
4	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	16902	LA
5	1835P1200X	Pharmacotherapy Pharmacist	40481	TX
6	1835P1200X	Pharmacotherapy Pharmacist	21783	FL
7	1835P1200X	Pharmacotherapy Pharmacist	16902	LA

General Provider Information

NPI Number	:	1053547653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELLECYA R. MCCANTS PHARM.D.

Provider Business Mailing Address
First Line	:	4134 S WEBBER DR
Second Line	:	SUITE E
City	:	PEARLAND
State	:	TX
Zip	:	77584-9415
Country	:	US
Telephone Number	:	281-489-5670
Fax Number	:	281-489-5671

Provider Business Practice Location Address
First Line	:	4134 S WEBBER DR
Second Line	:	SUITE E
City	:	PEARLAND
State	:	TX
Zip	:	77584-9415
Country	:	US
Telephone Number	:	281-489-5670
Fax Number	:	281-489-5671

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

Provider Enumeration Date	:	06/09/2009
Last Update Date	:	06/09/2009

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