Provider Demographics
NPI:1780106518
Name:ATHAY, MEREDITH TILLEY (PHARMD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:TILLEY
Last Name:ATHAY
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 1:2630 WILLARD DAIRY RD STE B
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8354
Mailing Address - Country:US
Mailing Address - Phone:336-884-3838
Mailing Address - Fax:336-884-3840
Practice Address - Street 1:2630 WILLARD DAIRY RD STE B
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8354
Practice Address - Country:US
Practice Address - Phone:336-884-3838
Practice Address - Fax:336-884-3840
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist