Provider Demographics
NPI:1053912964
Name:GARY, CHERYL MCGEE (RPH)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:MCGEE
Last Name:GARY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:CHERYL
Other - Middle Name:EVETTE
Other - Last Name:GARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:509 E FORK
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4384
Mailing Address - Country:US
Mailing Address - Phone:713-594-4920
Mailing Address - Fax:
Practice Address - Street 1:150 W EL DORADO BLVD
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-6500
Practice Address - Country:US
Practice Address - Phone:281-480-6134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32680183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist