Provider Demographics
NPI:1467054759
Name:SIMPSON, MEGHAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:SIMPSON
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 1:281 A FRAME RD
Mailing Address - Street 2:
Mailing Address - City:COUDERSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:16915-8059
Mailing Address - Country:US
Mailing Address - Phone:814-558-7781
Mailing Address - Fax:
Practice Address - Street 1:122 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:PA
Practice Address - Zip Code:16950-1522
Practice Address - Country:US
Practice Address - Phone:814-367-2327
Practice Address - Fax:814-367-5197
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445570183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist