| NPI | 1154879633 |
|---|---|
| Former Name | MEGAN LEIGH UPCHURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000040524) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH027893) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |