Provider Demographics
NPI:1376217687
Name:FINUCAN, MEAGAN MARIE
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:MARIE
Last Name:FINUCAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3819 NW 35TH ST
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-2407
Mailing Address - Country:US
Mailing Address - Phone:561-757-1445
Mailing Address - Fax:
Practice Address - Street 1:4700 S FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33330-2300
Practice Address - Country:US
Practice Address - Phone:954-680-7821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL62612183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist