Provider Demographics
NPI:1093400145
Name:COX, MEREDITH ANNE (CPHT)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ANNE
Last Name:COX
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W STEIN HWY
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-1208
Mailing Address - Country:US
Mailing Address - Phone:302-629-6686
Mailing Address - Fax:
Practice Address - Street 1:900 W STEIN HWY
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-1208
Practice Address - Country:US
Practice Address - Phone:302-629-6686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDT02040183700000X
30171570183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician