Provider Demographics
NPI:1255067211
Name:MEFFERT, MEGAN MICHELLE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:MICHELLE
Last Name:MEFFERT
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 1:9606 SEATONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3056
Mailing Address - Country:US
Mailing Address - Phone:502-641-8838
Mailing Address - Fax:
Practice Address - Street 1:5360 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-1564
Practice Address - Country:US
Practice Address - Phone:502-447-4757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY022620183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist