Healthcare Provider Details

I. General information

NPI: 1255067211
Provider Name (Legal Business Name): MEGAN MICHELLE MEFFERT PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2022
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 DIXIE HWY
LOUISVILLE KY
40216-1564
US

IV. Provider business mailing address

9606 SEATONVILLE RD
LOUISVILLE KY
40291-3056
US

V. Phone/Fax

Practice location:
  • Phone: 502-447-4757
  • Fax:
Mailing address:
  • Phone: 502-641-8838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number022620
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: