Provider Demographics
NPI:1417938127
Name:RICE, MEGAN E (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:E
Last Name:RICE
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 1:3547 TRAILVIEW CT
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-4299
Mailing Address - Country:US
Mailing Address - Phone:330-225-3010
Mailing Address - Fax:
Practice Address - Street 1:3547 TRAILVIEW CT
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-4299
Practice Address - Country:US
Practice Address - Phone:330-225-3010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-23595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist