Provider Demographics
NPI:1346962230
Name:MEGIBBEN, ANNE MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:MEGIBBEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7084 CLARK STATION RD
Mailing Address - Street 2:
Mailing Address - City:FINCHVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40022-5782
Mailing Address - Country:US
Mailing Address - Phone:502-939-9067
Mailing Address - Fax:
Practice Address - Street 1:7084 CLARK STATION RD
Practice Address - Street 2:
Practice Address - City:FINCHVILLE
Practice Address - State:KY
Practice Address - Zip Code:40022-5782
Practice Address - Country:US
Practice Address - Phone:502-939-9067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty