Provider Demographics
NPI:1417340811
Name:HARLAN, MEGHAN MAYNARD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:MAYNARD
Last Name:HARLAN
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 1:2016 BLUE RIBBON DOWNS
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-4296
Mailing Address - Country:US
Mailing Address - Phone:615-426-2417
Mailing Address - Fax:
Practice Address - Street 1:1703 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3186
Practice Address - Country:US
Practice Address - Phone:615-444-2581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-13554183500000X
TN38200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist