Provider Demographics
NPI:1588933113
Name:MCKEEVER, SANDRA EUGENIA (RPH)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:EUGENIA
Last Name:MCKEEVER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:EUGENIA
Other - Last Name:MCKEEVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1210 VIA CAPRI
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2629
Mailing Address - Country:US
Mailing Address - Phone:407-644-5551
Mailing Address - Fax:
Practice Address - Street 1:1001 UNIVERSAL STUDIOS PLAZA
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819
Practice Address - Country:US
Practice Address - Phone:407-903-1752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist