Provider Demographics
NPI:1003248048
Name:MOHE, MEGHAN S (PHARMD, MSCR)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:S
Last Name:MOHE
Suffix:
Gender:F
Credentials:PHARMD, MSCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 AVIATION PKWY
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6663
Mailing Address - Country:US
Mailing Address - Phone:919-460-9727
Mailing Address - Fax:
Practice Address - Street 1:808 AVIATION PKWY
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6663
Practice Address - Country:US
Practice Address - Phone:919-460-9727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23423183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist