Provider Demographics
NPI:1902520786
Name:MEYOU, TAGHREED S (RPH)
Entity Type:Individual
Prefix:
First Name:TAGHREED
Middle Name:S
Last Name:MEYOU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:TAGHREED
Other - Middle Name:S
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:177 JOTHAM AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3040
Mailing Address - Country:US
Mailing Address - Phone:248-225-7293
Mailing Address - Fax:
Practice Address - Street 1:22250 PROVIDENCE DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4825
Practice Address - Country:US
Practice Address - Phone:248-849-3940
Practice Address - Fax:248-849-8601
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302030997183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist