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NPI Code Detail

MEDICARE: MEGAN RENEE NAKHLA PHARMD

MEDICARE: MEGAN RENEE NAKHLA 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
1183500000XPharmacistRP444998PA

General Provider Information

NPI Number : 1780990028
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN RENEE NAKHLA PHARMD
Provider Business Mailing Address
First Line : 438 E WILDEY ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-4231
Country : US
Telephone Number : 518-894-2200
Fax Number :
Provider Business Practice Location Address
First Line : 6515 CASTOR AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2708
Country : US
Telephone Number : 215-535-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2010
Last Update Date : 11/03/2020

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