Provider Demographics
NPI:1073282042
Name:RIDNER, MEGHAN LEIGH (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:LEIGH
Last Name:RIDNER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3027 PARKRIDGE DR APT 3
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2422
Mailing Address - Country:US
Mailing Address - Phone:256-503-0465
Mailing Address - Fax:
Practice Address - Street 1:4496 VALLEYDALE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-4666
Practice Address - Country:US
Practice Address - Phone:205-981-2362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-12
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist