Provider Demographics
NPI:1073969697
Name:MEGHPARA, MEENAXI B (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MEENAXI
Middle Name:B
Last Name:MEGHPARA
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 1:17940 WOLF RD
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5492
Mailing Address - Country:US
Mailing Address - Phone:708-479-1744
Mailing Address - Fax:
Practice Address - Street 1:17940 WOLF RD
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5492
Practice Address - Country:US
Practice Address - Phone:708-479-1744
Practice Address - Fax:708-479-4634
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051288584183500000X
IN26025396A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist