Provider Demographics
NPI:1528847449
Name:LITTLE, MEGAN (PHARMD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:LITTLE
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 1:834 PRATER FRK
Mailing Address - Street 2:
Mailing Address - City:HUEYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41640-8916
Mailing Address - Country:US
Mailing Address - Phone:606-616-8532
Mailing Address - Fax:
Practice Address - Street 1:275 WALTON DR
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:KY
Practice Address - Zip Code:41230-9322
Practice Address - Country:US
Practice Address - Phone:606-673-4912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY023857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist