Provider Demographics
NPI:1316386196
Name:GRAVER, MEGAN LYNN (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:LYNN
Last Name:GRAVER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5622 WYNNEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAURYS STATION
Mailing Address - State:PA
Mailing Address - Zip Code:18059-1122
Mailing Address - Country:US
Mailing Address - Phone:570-706-6117
Mailing Address - Fax:
Practice Address - Street 1:300 AMERICAN ST
Practice Address - Street 2:
Practice Address - City:CATASAUQUA
Practice Address - State:PA
Practice Address - Zip Code:18032-1800
Practice Address - Country:US
Practice Address - Phone:610-264-5471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445692183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist