Provider Demographics
NPI:1427650837
Name:DIXON, MEGHAN (PHARMD)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:DIXON
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 1:7150 HAMILTON BLVD
Mailing Address - Street 2:
Mailing Address - City:TREXLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18087-9725
Mailing Address - Country:US
Mailing Address - Phone:610-391-0254
Mailing Address - Fax:610-391-1536
Practice Address - Street 1:7150 HAMILTON BLVD
Practice Address - Street 2:
Practice Address - City:TREXLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18087-9725
Practice Address - Country:US
Practice Address - Phone:610-391-0254
Practice Address - Fax:610-391-1536
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist