Provider Demographics
NPI:1558650010
Name:COMBS, MEGAN
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:COMBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 N. PLEASANTS HWY
Mailing Address - Street 2:PO BOX 740
Mailing Address - City:ST. MARYS
Mailing Address - State:WV
Mailing Address - Zip Code:26170
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1380 N. PLEASANTS HWY
Practice Address - Street 2:
Practice Address - City:ST. MARYS
Practice Address - State:WV
Practice Address - Zip Code:26170-4541
Practice Address - Country:US
Practice Address - Phone:304-684-2297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03329006183500000X
WVRP0007225183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist