Healthcare Provider Details

I. General information

NPI: 1114842077
Provider Name (Legal Business Name): MEGAN FRANCIS DUPERREAULT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CIRCLE OF HOPE DR
SALT LAKE CITY UT
84112-5550
US

IV. Provider business mailing address

1114 E HYLAND LAKE DR
MURRAY UT
84121-1613
US

V. Phone/Fax

Practice location:
  • Phone: 720-273-3949
  • Fax:
Mailing address:
  • Phone: 720-273-3949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number14207185-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: