Provider Demographics
NPI:1063710085
Name:PRICE, MEIGHAN
Entity type:Individual
Prefix:
First Name:MEIGHAN
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 MCCRAYS MILL RD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-6185
Mailing Address - Country:US
Mailing Address - Phone:803-934-0847
Mailing Address - Fax:803-934-9435
Practice Address - Street 1:1990 MCCRAYS MILL RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-6185
Practice Address - Country:US
Practice Address - Phone:803-934-0847
Practice Address - Fax:803-934-9435
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist