Healthcare Provider Details

I. General information

NPI: 1699170167
Provider Name (Legal Business Name): MEGAN E MARKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN E CURREY PHARMD

II. Dates (important events)

Enumeration Date: 10/27/2014
Last Update Date: 01/28/2023
Certification Date: 01/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4514 E MAZATZAL DR
CAVE CREEK AZ
85331-2207
US

IV. Provider business mailing address

4514 E MAZATZAL DR
CAVE CREEK AZ
85331-2207
US

V. Phone/Fax

Practice location:
  • Phone: 571-401-5935
  • Fax:
Mailing address:
  • Phone: 602-743-7022
  • Fax: 602-743-7022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19962
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS021251
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: