Provider Demographics
NPI:1114900636
Name:HEMINGER, MEGAN RENAE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:RENAE
Last Name:HEMINGER
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 1:1745 FULTON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3056
Mailing Address - Country:US
Mailing Address - Phone:216-621-1330
Mailing Address - Fax:
Practice Address - Street 1:1745 FULTON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3056
Practice Address - Country:US
Practice Address - Phone:216-621-1330
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032252281835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy