Provider Demographics
NPI:1821691338
Name:LETCHWORTH, MEGHAN LEANA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:LEANA
Last Name:LETCHWORTH
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 1:5471 NC HWY 55 W
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-7582
Mailing Address - Country:US
Mailing Address - Phone:252-559-9192
Mailing Address - Fax:
Practice Address - Street 1:2203 WAYNE MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-1723
Practice Address - Country:US
Practice Address - Phone:919-731-7105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30119183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist