Provider Demographics
NPI:1417130931
Name:MEGHPARA, REEMA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:REEMA
Middle Name:
Last Name:MEGHPARA
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 1:24906 EMERALD AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-2968
Mailing Address - Country:US
Mailing Address - Phone:815-577-7200
Mailing Address - Fax:
Practice Address - Street 1:2855 W 95TH ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-9011
Practice Address - Country:US
Practice Address - Phone:630-904-7709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist