MEDICARE: MEGAN ABLES 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
1	183500000X	Pharmacist	PHA.0022474	CO

General Provider Information

NPI Number	:	1578034385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ABLES PHARMD

Provider Business Mailing Address
First Line	:	2253 MOUNT PELIA RD
Second Line	:
City	:	MARTIN
State	:	TN
Zip	:	38237-5452
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2253 MOUNT PELIA ROAD
Second Line	:
City	:	MARTIN
State	:	TN
Zip	:	38237
Country	:	US
Telephone Number	:	731-514-7755
Fax Number	:

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

Provider Enumeration Date	:	12/06/2018
Last Update Date	:	12/06/2018

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