Provider Demographics
NPI:1922359009
Name:HUNT, MEGAN J (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:J
Last Name:HUNT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 DEBORAH DR APT 134
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-2093
Mailing Address - Country:US
Mailing Address - Phone:318-355-5411
Mailing Address - Fax:
Practice Address - Street 1:105 W CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-5013
Practice Address - Country:US
Practice Address - Phone:318-513-1260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012029750183500000X
LA019934183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist