Provider Demographics
NPI:1851655963
Name:SLOANE, MEAGHAN ANNE (RPH PHARMD)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:ANNE
Last Name:SLOANE
Suffix:
Gender:F
Credentials:RPH PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 DOWNER STREET RD
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-2370
Mailing Address - Country:US
Mailing Address - Phone:315-635-6013
Mailing Address - Fax:
Practice Address - Street 1:2265 DOWNER STREET RD
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-2370
Practice Address - Country:US
Practice Address - Phone:315-635-6013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054678183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY054678OtherSTATE LISENCE