Provider Demographics
NPI:1649600669
Name:SWARTHOUT, MEGHAN DAVLIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:DAVLIN
Last Name:SWARTHOUT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:DAVLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7506 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:DUNDALK
Mailing Address - State:MD
Mailing Address - Zip Code:21222-3112
Mailing Address - Country:US
Mailing Address - Phone:419-366-9281
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:CARNEGIE 180
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:443-287-2618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD193061835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy