Provider Demographics
NPI:1609590413
Name:DUCHEIN, MEAGAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:DUCHEIN
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 1:125 N MILL RD UNIT F402
Mailing Address - Street 2:
Mailing Address - City:VINEYARD
Mailing Address - State:UT
Mailing Address - Zip Code:84059-5626
Mailing Address - Country:US
Mailing Address - Phone:801-756-1501
Mailing Address - Fax:
Practice Address - Street 1:475 E STATE RD
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2558
Practice Address - Country:US
Practice Address - Phone:801-756-1501
Practice Address - Fax:801-519-3093
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12278151-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist