Provider Demographics
NPI:1508151168
Name:URBAN, MEGAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:URBAN
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 1:3201 IOWA ST
Mailing Address - Street 2:T-0531
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-5205
Mailing Address - Country:US
Mailing Address - Phone:785-832-0312
Mailing Address - Fax:
Practice Address - Street 1:3201 IOWA ST
Practice Address - Street 2:T-0531
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-5205
Practice Address - Country:US
Practice Address - Phone:785-832-0312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14425183500000X
MO2011001989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist