Provider Demographics
NPI:1689074809
Name:FRIEDLI, MEGAN ROCHELLE
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ROCHELLE
Last Name:FRIEDLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-2626
Mailing Address - Country:US
Mailing Address - Phone:251-368-8131
Mailing Address - Fax:
Practice Address - Street 1:506 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-2626
Practice Address - Country:US
Practice Address - Phone:251-368-8131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist