Provider Demographics
NPI:1659641892
Name:MEEHAN, FRANCES (RPH)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:
Last Name:MEEHAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 GUNN HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-4104
Mailing Address - Country:US
Mailing Address - Phone:813-969-4203
Mailing Address - Fax:813-269-4745
Practice Address - Street 1:5709 GUNN HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-4104
Practice Address - Country:US
Practice Address - Phone:813-969-4203
Practice Address - Fax:813-269-4745
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS25549183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist