Provider Demographics
NPI:1457672370
Name:HARGROVE, MEAGAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:
Last Name:HARGROVE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MEAGAN
Other - Middle Name:
Other - Last Name:WIDENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:834 MAPLE FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-7740
Mailing Address - Country:US
Mailing Address - Phone:256-612-8724
Mailing Address - Fax:
Practice Address - Street 1:834 MAPLE FOREST AVE
Practice Address - Street 2:
Practice Address - City:MINNEOLA
Practice Address - State:FL
Practice Address - Zip Code:34715-7740
Practice Address - Country:US
Practice Address - Phone:256-612-8724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2021-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL164251835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist