Healthcare Provider Details

I. General information

NPI: 1245548668
Provider Name (Legal Business Name): MEGAN RENAE SCOTT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 09/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 AMERICAN ST
CATASAUQUA PA
18032-1800
US

IV. Provider business mailing address

825 16TH AVE
BETHLEHEM PA
18018
US

V. Phone/Fax

Practice location:
  • Phone: 610-264-5471
  • Fax:
Mailing address:
  • Phone: 610-419-6295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP444787
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number14584
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number2010027154
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: