Healthcare Provider Details

I. General information

NPI: 1932022043
Provider Name (Legal Business Name): MEGAN WILSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 LIBERTY AVE STE 140
PITTSBURGH PA
15224-2156
US

IV. Provider business mailing address

4815 LIBERTY AVE STE 140
PITTSBURGH PA
15224-2156
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-4677
  • Fax: 412-688-7537
Mailing address:
  • Phone: 412-578-4677
  • Fax: 412-688-7537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460462
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: