Provider Demographics
NPI:1285079053
Name:LEWIS, MEGAN ELIZABETH (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:LEWIS
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 1:803 JAMESTOWN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-1009
Mailing Address - Country:US
Mailing Address - Phone:270-384-0538
Mailing Address - Fax:270-385-9132
Practice Address - Street 1:803 JAMESTOWN ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1009
Practice Address - Country:US
Practice Address - Phone:270-384-0539
Practice Address - Fax:270-385-9132
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYI10311390200000X
ALS10612390200000X
KY018668183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program