Provider Demographics
NPI:1588829576
Name:MARKOVICH, MEAGAN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:
Last Name:MARKOVICH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3933 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:OH
Mailing Address - Zip Code:44839-2109
Mailing Address - Country:US
Mailing Address - Phone:419-357-8968
Mailing Address - Fax:
Practice Address - Street 1:4453 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:VERMILION
Practice Address - State:OH
Practice Address - Zip Code:44089-1907
Practice Address - Country:US
Practice Address - Phone:440-967-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-19
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-28701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist