Healthcare Provider Details

I. General information

NPI: 1881035764
Provider Name (Legal Business Name): MEGHAN REGAN LINGENFELTER PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2013
Last Update Date: 07/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BROAD ST
PAWTUCKET RI
02860-2024
US

IV. Provider business mailing address

300 CENTERVILLE RD EAST BUILDING SUITE 100B
WARWICK RI
02886-0200
US

V. Phone/Fax

Practice location:
  • Phone: 401-724-6724
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH05222
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: