Provider Demographics
NPI:1285926337
Name:ANDERSON, MEGHAN HALL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:HALL
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3600 S GLEBE RD # W100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2365
Mailing Address - Country:US
Mailing Address - Phone:703-412-9144
Mailing Address - Fax:
Practice Address - Street 1:3600 S GLEBE RD # W100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-2365
Practice Address - Country:US
Practice Address - Phone:703-412-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210028183500000X
DCPH100000827183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist