Provider Demographics
NPI:1811219215
Name:ANDERSON, MEGAN MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:MARIE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4603
Mailing Address - Country:US
Mailing Address - Phone:515-270-2623
Mailing Address - Fax:847-396-2823
Practice Address - Street 1:7501 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-4603
Practice Address - Country:US
Practice Address - Phone:515-270-2623
Practice Address - Fax:847-396-2823
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2017-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20590183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist