Provider Demographics
NPI:1124431770
Name:MCKEE, AMBER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4006 RED LYNX LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76005-1142
Mailing Address - Country:US
Mailing Address - Phone:215-327-0227
Mailing Address - Fax:
Practice Address - Street 1:2001 W JOHN CARPENTER FWY
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3255
Practice Address - Country:US
Practice Address - Phone:215-327-0227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016675183500000X
TX57865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY016675Other183500000X