Provider Demographics
NPI:1992999692
Name:HAAS, MEGHAN R (RPH)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:R
Last Name:HAAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 HARRISON AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-2241
Mailing Address - Country:US
Mailing Address - Phone:330-956-0167
Mailing Address - Fax:
Practice Address - Street 1:900 WOOSTER RD N
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-1659
Practice Address - Country:US
Practice Address - Phone:330-745-9364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP183500000X
AZS018202183500000X
OH03-2-25223183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist