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NPI Code Detail

MEDICARE: MEGAN ELIZABETH ALT RPH

MEDICARE: MEGAN ELIZABETH ALT 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
11835P2201XAmbulatory Care Pharmacist03440767OH

General Provider Information

NPI Number : 1467024489
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ELIZABETH ALT RPH
Provider Business Mailing Address
First Line : 2320 LAGUNA CT UNIT 206
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-1139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1158 WILMINGTON AVE
Second Line :
City : DAYTON
State : OH
Zip : 45420-1662
Country : US
Telephone Number : 937-252-8062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2021
Last Update Date : 07/12/2021

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