MEDICARE: MEGHAN GATTIE PHARM.D.

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	18536	MD
2	183500000X	Pharmacist	53810	NY

General Provider Information

NPI Number	:	1689997843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN GATTIE PHARM.D.

Provider Business Mailing Address
First Line	:	1717 SHERIDAN DR
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14223-1209
Country	:	US
Telephone Number	:	716-875-4131
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 SHERIDAN DR
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14223-1209
Country	:	US
Telephone Number	:	716-875-4131
Fax Number	:

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

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	03/29/2011

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Directions to “ MEGHAN GATTIE PHARM.D.” Practice Location

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