Provider Demographics
NPI:1023363389
Name:DOPART, MEGHAN JEANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:JEANNE
Last Name:DOPART
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 ROPER MOUNTAIN ROAD EXT APT 412D
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4863
Mailing Address - Country:US
Mailing Address - Phone:803-429-9693
Mailing Address - Fax:
Practice Address - Street 1:410 PELZER HWY
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-2106
Practice Address - Country:US
Practice Address - Phone:864-855-6856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPH-13806183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist