Provider Demographics
NPI:1306541180
Name:CABLE, MEGAN (CPHT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:CABLE
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 1:14 N STAFFORD COMPLEX CTR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-1901
Mailing Address - Country:US
Mailing Address - Phone:540-602-6119
Mailing Address - Fax:
Practice Address - Street 1:14 N STAFFORD COMPLEX CTR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-1901
Practice Address - Country:US
Practice Address - Phone:540-602-6119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230023373183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician