Healthcare Provider Details

I. General information

NPI: 1235303496
Provider Name (Legal Business Name): MEGAN LOWE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 W 2100 S
SALT LAKE CITY UT
84119-1401
US

IV. Provider business mailing address

1525 WEST 2100 SOUTH
SALT LAKE CITY UT
84119
US

V. Phone/Fax

Practice location:
  • Phone: 801-213-9900
  • Fax:
Mailing address:
  • Phone: 801-213-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number337352-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: