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NPI Code Detail

MEDICARE: MEGAN CAMPBELL

MEDICARE: MEGAN CAMPBELL
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
1183500000XPharmacist5302043767MI

General Provider Information

NPI Number : 1942783568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN CAMPBELL
Provider Business Mailing Address
First Line : 189 W SKEELS RD
Second Line :
City : MONTAGUE
State : MI
Zip : 49437-9596
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1771 HOLTON RD
Second Line :
City : NORTH MUSKEGON
State : MI
Zip : 49445-1452
Country : US
Telephone Number : 231-744-1391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2018
Last Update Date : 09/10/2018

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Directions to “ MEGAN CAMPBELL ” Practice Location

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