MEDICARE: PETER MCKEE PHARMD

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	67680	TX

General Provider Information

NPI Number	:	1992304125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER MCKEE PHARMD

Provider Business Mailing Address
First Line	:	1312 14TH ST STE 201
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-6206
Country	:	US
Telephone Number	:	469-596-0341
Fax Number	:	469-596-0412

Provider Business Practice Location Address
First Line	:	1312 14TH STREET
Second Line	:	SUITE 201
City	:	PLANO
State	:	TX
Zip	:	75074-6206
Country	:	US
Telephone Number	:	469-596-0341
Fax Number	:	469-596-0412

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

Provider Enumeration Date	:	10/19/2020
Last Update Date	:	10/19/2020

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Directions to “ PETER MCKEE PHARMD” Practice Location

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