Provider Demographics
NPI:1821511577
Name:DUNLOP, MEGAN NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:NICOLE
Last Name:DUNLOP
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 1:3720 NEW GERMANY RD
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-1862
Mailing Address - Country:US
Mailing Address - Phone:814-472-9390
Mailing Address - Fax:
Practice Address - Street 1:3720 NEW GERMANY RD
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-1862
Practice Address - Country:US
Practice Address - Phone:814-472-9390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X, 101YA0400X
PARP451514183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No174H00000XOther Service ProvidersHealth Educator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP451514OtherPA RPH LICENSE
PARPI011432OtherAUTH TO ADMIN INJECTABLES