Provider Demographics
NPI:1851454284
Name:MEGGIOLARO, MICHAEL FRANK (R PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:FRANK
Last Name:MEGGIOLARO
Suffix:
Gender:M
Credentials:R PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 VALLEY FORGE DR
Mailing Address - Street 2:
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-2214
Mailing Address - Country:US
Mailing Address - Phone:973-884-8713
Mailing Address - Fax:
Practice Address - Street 1:30 N JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981-1030
Practice Address - Country:US
Practice Address - Phone:973-428-4056
Practice Address - Fax:973-428-4063
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI10164500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist