Healthcare Provider Details

I. General information

NPI: 1295103950
Provider Name (Legal Business Name): MEAGAN WYER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2015
Last Update Date: 08/16/2020
Certification Date: 08/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 TOWN PLZ
DURANGO CO
81301-5104
US

IV. Provider business mailing address

2712 11TH AVE
GREELEY CO
80631-8443
US

V. Phone/Fax

Practice location:
  • Phone: 970-247-2921
  • Fax:
Mailing address:
  • Phone: 970-353-9780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20868
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: