Provider Demographics
NPI:1225669237
Name:HERRMANN, MEGAN LYNN (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LYNN
Last Name:HERRMANN
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:LYNN
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:111 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52349-1121
Mailing Address - Country:US
Mailing Address - Phone:319-472-4274
Mailing Address - Fax:
Practice Address - Street 1:111 W 4TH ST
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:IA
Practice Address - Zip Code:52349-1121
Practice Address - Country:US
Practice Address - Phone:319-472-4274
Practice Address - Fax:319-472-4266
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22399183500000X
IA31584881835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist