Provider Demographics
NPI:1295386340
Name:SCHUT, MEAGAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:
Last Name:SCHUT
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 1:2833 S WILEY RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98903-9743
Mailing Address - Country:US
Mailing Address - Phone:509-388-6625
Mailing Address - Fax:
Practice Address - Street 1:119 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:SELAH
Practice Address - State:WA
Practice Address - Zip Code:98942-1430
Practice Address - Country:US
Practice Address - Phone:509-697-6125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60960513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist