Provider Demographics
NPI:1679741631
Name:GIORDANO, MEAGAN R (RPH)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:R
Last Name:GIORDANO
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 1:931 LAKEHURST AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-5249
Mailing Address - Country:US
Mailing Address - Phone:732-715-1220
Mailing Address - Fax:
Practice Address - Street 1:458 AMBOY AVE STE 2
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-2948
Practice Address - Country:US
Practice Address - Phone:732-636-0011
Practice Address - Fax:732-671-1462
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02877500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist