MEDICARE: MR. ANDREW MEAGHER RPH

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
1	183500000X	Pharmacist	5569	NM

General Provider Information

NPI Number	:	1326023508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDREW MEAGHER RPH

Provider Business Mailing Address
First Line	:	USCG HQ, COMDT (CG-1122)
Second Line	:	2100 2ND ST, RM 5314
City	:	WASHINGTON
State	:	DC
Zip	:	20593-0001
Country	:	US
Telephone Number	:	508-968-6702
Fax Number	:	508-968-6620

Provider Business Practice Location Address
First Line	:	USCG HQ, COMDT (CG-1122)
Second Line	:	2100 2ND ST, RM 5314
City	:	WASHINGTON
State	:	DC
Zip	:	20593-0001
Country	:	US
Telephone Number	:	508-968-6702
Fax Number	:	508-968-6620

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2005
Last Update Date	:	07/08/2007

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