Provider Demographics
NPI:1154927267
Name:MEEHAN, ADAM R (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:R
Last Name:MEEHAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4407
Mailing Address - Country:US
Mailing Address - Phone:610-787-0042
Mailing Address - Fax:
Practice Address - Street 1:101 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:YEADON
Practice Address - State:PA
Practice Address - Zip Code:19050-3822
Practice Address - Country:US
Practice Address - Phone:610-461-2171
Practice Address - Fax:610-461-6832
Is Sole Proprietor?:No
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444878183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist