Provider Demographics
NPI:1629123112
Name:PASOOKHUSH, MEGAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:PASOOKHUSH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:PASOOKHUSH
Other - Last Name:REGISTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9000 REGENCY PKWY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8592
Mailing Address - Country:US
Mailing Address - Phone:919-463-5555
Mailing Address - Fax:
Practice Address - Street 1:9000 REGENCY PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-8592
Practice Address - Country:US
Practice Address - Phone:919-463-5555
Practice Address - Fax:919-463-5566
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist