Healthcare Provider Details

I. General information

NPI: 1003762030
Provider Name (Legal Business Name): MEGAN LEIGH HOLLORAN PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W 19TH TER
KANSAS CITY MO
64108-2026
US

IV. Provider business mailing address

300 W 19TH TER
KANSAS CITY MO
64108-2026
US

V. Phone/Fax

Practice location:
  • Phone: 816-410-9272
  • Fax:
Mailing address:
  • Phone: 816-410-9272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2025026988
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: