Provider Demographics
NPI:1881975993
Name:HEDDEN, MEGAN ASHLEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ASHLEY
Last Name:HEDDEN
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 1:310 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:EUDORA
Mailing Address - State:KS
Mailing Address - Zip Code:66025-9540
Mailing Address - Country:US
Mailing Address - Phone:785-690-7575
Mailing Address - Fax:785-690-7577
Practice Address - Street 1:310 E 15TH ST
Practice Address - Street 2:
Practice Address - City:EUDORA
Practice Address - State:KS
Practice Address - Zip Code:66025-9540
Practice Address - Country:US
Practice Address - Phone:785-690-7575
Practice Address - Fax:785-690-7577
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-15373183500000X
MO2011026561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist