Provider Demographics
NPI:1881159739
Name:DUFFIELD, MEGAN ALEXANDRIA (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ALEXANDRIA
Last Name:DUFFIELD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ALEXANDRIA
Other - Last Name:DUFFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9201 OAK FOREST LN
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-2564
Mailing Address - Country:US
Mailing Address - Phone:870-674-4879
Mailing Address - Fax:
Practice Address - Street 1:8901 CARTI WAY
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6523
Practice Address - Country:US
Practice Address - Phone:501-906-4445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD14149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist