Provider Demographics
NPI:1437722196
Name:HANDLEY, MEGAN LYDIA (RPH)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYDIA
Last Name:HANDLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:LYDIA
Other - Last Name:SCHOENEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MT
Mailing Address - Zip Code:59825-0252
Mailing Address - Country:US
Mailing Address - Phone:406-223-1684
Mailing Address - Fax:
Practice Address - Street 1:4000 HWY 93 S
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804
Practice Address - Country:US
Practice Address - Phone:406-251-6066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT79469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist