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NPI Code Detail

MEDICARE: MR. JEFF MCCLUSKY RPH

MEDICARE:  MR. JEFF  MCCLUSKY  RPH
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
1183500000XPharmacist34969TX

General Provider Information

NPI Number : 1124312996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFF MCCLUSKY RPH
Provider Business Mailing Address
First Line : 21331 WINDING PATH WAY
Second Line :
City : RICHMOND
State : TX
Zip : 77406-3603
Country : US
Telephone Number : 832-492-9266
Fax Number :
Provider Business Practice Location Address
First Line : 1220 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4004
Country : US
Telephone Number : 832-729-2197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2011
Last Update Date : 05/09/2025

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Directions to “ MR. JEFF MCCLUSKY RPH” Practice Location

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