Provider Demographics
NPI:1902494412
Name:RADCLIFF, MEGHANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGHANN
Middle Name:
Last Name:RADCLIFF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEGHANN
Other - Middle Name:
Other - Last Name:BOSWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2921 STOCKTON BLVD STE 1700
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2921 STOCKTON BLVD STE 1700
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2305
Practice Address - Country:US
Practice Address - Phone:916-601-3381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-10
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH611991835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear