Provider Demographics
NPI:1689954984
Name:SIMONS, MEREDITH LENNEK (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LENNEK
Last Name:SIMONS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:LENNEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1895 E FIRE TOWER RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4132
Mailing Address - Country:US
Mailing Address - Phone:252-756-9503
Mailing Address - Fax:
Practice Address - Street 1:1895 E FIRE TOWER RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-4132
Practice Address - Country:US
Practice Address - Phone:252-756-9503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011026589183500000X
NC24820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist