Provider Demographics
NPI:1962806281
Name:EHRET, MEGAN (PHARMD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:EHRET
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 1:69 N EAGLEVILLE RD
Mailing Address - Street 2:UNIT 3092
Mailing Address - City:STORRS
Mailing Address - State:CT
Mailing Address - Zip Code:06269-9175
Mailing Address - Country:US
Mailing Address - Phone:869-679-8928
Mailing Address - Fax:
Practice Address - Street 1:69 N EAGLEVILLE RD
Practice Address - Street 2:UNIT 3092
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06269-9175
Practice Address - Country:US
Practice Address - Phone:869-679-8928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0332564183500000X
OH4070085371835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric