Provider Demographics
NPI:1013254945
Name:COUTS, MEGAN ANNA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANNA
Last Name:COUTS
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 1:1605 BELTLINE RD SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-5591
Mailing Address - Country:US
Mailing Address - Phone:256-301-6411
Mailing Address - Fax:256-301-5593
Practice Address - Street 1:1605 BELTLINE RD SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5591
Practice Address - Country:US
Practice Address - Phone:256-301-6411
Practice Address - Fax:256-301-5593
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist