MEDICARE: BRITTANY GAGE 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
1	183500000X	Pharmacist	47405	TX

General Provider Information

NPI Number	:	1821711904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY GAGE RPH

Provider Business Mailing Address
First Line	:	113 EAGLE LAKES DR
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-5853
Country	:	US
Telephone Number	:	281-733-9741
Fax Number	:

Provider Business Practice Location Address
First Line	:	959 BAY AREA BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2603
Country	:	US
Telephone Number	:	281-212-8040
Fax Number	:	281-212-8046

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

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	09/22/2022

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Directions to “ BRITTANY GAGE RPH” Practice Location

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