Provider Demographics
NPI:1942581418
Name:RANEY, MEGAN (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:RANEY
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 1:528 NW 171ST ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-6753
Mailing Address - Country:US
Mailing Address - Phone:405-942-2471
Mailing Address - Fax:405-942-6332
Practice Address - Street 1:5120 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-3504
Practice Address - Country:US
Practice Address - Phone:405-942-2471
Practice Address - Fax:405-942-6332
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14358183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist