Provider Demographics
NPI:1144664202
Name:FLANNIGAN, MEGAN DAWN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:DAWN
Last Name:FLANNIGAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 FARM ROAD SOUTH
Mailing Address - Street 2:
Mailing Address - City:TOWER
Mailing Address - State:MN
Mailing Address - Zip Code:55790
Mailing Address - Country:US
Mailing Address - Phone:218-753-2180
Mailing Address - Fax:218-753-2181
Practice Address - Street 1:1613 FARM ROAD SOUTH
Practice Address - Street 2:
Practice Address - City:TOWER
Practice Address - State:MN
Practice Address - Zip Code:55790
Practice Address - Country:US
Practice Address - Phone:218-753-2180
Practice Address - Fax:218-753-2181
Is Sole Proprietor?:No
Enumeration Date:2013-04-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1208311835P1200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy