Healthcare Provider Details

I. General information

NPI: 1285000455
Provider Name (Legal Business Name): MEGAN HUGHES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2015
Last Update Date: 11/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 MEDICAL CENTER DR
WILMINGTON NC
28401-7307
US

IV. Provider business mailing address

1202 MEDICAL CENTER DR
WILMINGTON NC
28401-7307
US

V. Phone/Fax

Practice location:
  • Phone: 910-772-0345
  • Fax: 910-341-3326
Mailing address:
  • Phone: 910-772-0345
  • Fax: 910-341-3326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number24314
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: