Provider Demographics
NPI:1265729008
Name:HURSMAN, MEGAN JOANN (PHARM D)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JOANN
Last Name:HURSMAN
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 1:805 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LANGDON
Mailing Address - State:ND
Mailing Address - Zip Code:58249-2625
Mailing Address - Country:US
Mailing Address - Phone:701-256-3330
Mailing Address - Fax:
Practice Address - Street 1:805 3RD ST
Practice Address - Street 2:
Practice Address - City:LANGDON
Practice Address - State:ND
Practice Address - Zip Code:58249-2625
Practice Address - Country:US
Practice Address - Phone:701-256-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist