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NPI Code Detail

MEDICARE: DR. MEGAN IRENE LOFTUS PHARMD

MEDICARE: DR. MEGAN IRENE LOFTUS 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
1183500000XPharmacist5302413735MI

General Provider Information

NPI Number : 1477221695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGAN IRENE LOFTUS PHARMD
Provider Business Mailing Address
First Line : 2515 17TH AVE
Second Line :
City : PORT HURON
State : MI
Zip : 48060-2722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5991 BECKLEY RD
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49014-8386
Country : US
Telephone Number : 269-979-5438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 09/01/2021

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