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NPI Code Detail

MEDICARE: DR. MEGAN LEE MAGNANT PHARMD

MEDICARE:  DR. MEGAN LEE MAGNANT  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist19075NV

General Provider Information

NPI Number : 1073985305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGAN LEE MAGNANT PHARMD
Provider Business Mailing Address
First Line : 1851 N GREEN VALLEY PKWY
Second Line : APT 1613
City : HENDERSON
State : NV
Zip : 89074-5800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5888 W SUNSET RD
Second Line : #200
City : LAS VEGAS
State : NV
Zip : 89118-3452
Country : US
Telephone Number : 702-585-2890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2015
Last Update Date : 10/26/2015

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Directions to “ DR. MEGAN LEE MAGNANT PHARMD” Practice Location

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