Provider Demographics
NPI:1417426826
Name:WILLIAMS, MEGAN (RPH)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:GUINEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:170 S LYCOMING MALL RD
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-8152
Mailing Address - Country:US
Mailing Address - Phone:570-940-1001
Mailing Address - Fax:570-940-1011
Practice Address - Street 1:170 S LYCOMING MALL RD
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-8152
Practice Address - Country:US
Practice Address - Phone:570-940-1001
Practice Address - Fax:570-940-1011
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI007771183500000X
PARP040832L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARPI007771OtherPHARMACY
PARP040832LOtherPHARMACY LICENSE
PARP040832LOtherPHARMACY