Provider Demographics
NPI:1336742493
Name:MCGOUGH, MEGAN LEE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LEE
Last Name:MCGOUGH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:LEE
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:100 COBB RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:AL
Mailing Address - Zip Code:36054-3855
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3680 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-2443
Practice Address - Country:US
Practice Address - Phone:334-285-3041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist