Provider Demographics
NPI:1902423965
Name:SCHREIBER, MEGAN MICHELE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MICHELE
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9612 KILDARE XING
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46835-9368
Mailing Address - Country:US
Mailing Address - Phone:260-413-8474
Mailing Address - Fax:
Practice Address - Street 1:1700 S 13TH ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IN
Practice Address - Zip Code:46733-2190
Practice Address - Country:US
Practice Address - Phone:260-724-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26028748A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist