Healthcare Provider Details
I. General information
NPI: 1407063167
Provider Name (Legal Business Name): MEGAN MARIE SARASHINSKY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7101 JAHNKE RD
RICHMOND VA
23225-4017
US
IV. Provider business mailing address
1606 HALLFORD CT APT 301
MIDLOTHIAN VA
23114-7032
US
V. Phone/Fax
- Phone: 804-323-8685
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P1300X |
| Taxonomy | Psychiatric Pharmacist |
| License Number | 0202207079 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: