Provider Demographics
NPI:1538493572
Name:EASTER, MAEGAN NICOLE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MAEGAN
Middle Name:NICOLE
Last Name:EASTER
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 1:10633 RENE ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-4052
Mailing Address - Country:US
Mailing Address - Phone:913-661-0100
Mailing Address - Fax:913-906-9098
Practice Address - Street 1:10633 RENE ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-4052
Practice Address - Country:US
Practice Address - Phone:913-661-0100
Practice Address - Fax:913-906-9098
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist