Provider Demographics
NPI:1871825976
Name:MEGS DISCOUNT PHARMACY
Entity Type:Organization
Organization Name:MEGS DISCOUNT PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JENEVIVE
Authorized Official - Last Name:MEGWA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:661-406-7941
Mailing Address - Street 1:1900 WHITE OAK CLEARING
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6930
Mailing Address - Country:US
Mailing Address - Phone:940-382-7520
Mailing Address - Fax:940-382-7517
Practice Address - Street 1:603 SUNSET ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2665
Practice Address - Country:US
Practice Address - Phone:940-382-7520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26789332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies