Provider Demographics
NPI:1962834333
Name:SLUDER, MEGAN QUARLES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:QUARLES
Last Name:SLUDER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ELBA HWY
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36079-5467
Mailing Address - Country:US
Mailing Address - Phone:334-808-4282
Mailing Address - Fax:334-808-4378
Practice Address - Street 1:100 ELBA HWY
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36079-5467
Practice Address - Country:US
Practice Address - Phone:334-808-4282
Practice Address - Fax:334-808-4378
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16920183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist