Provider Demographics
NPI:1710700729
Name:COLLINS, MEAGHAN CHRISTINA (PHARMD)
Entity type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:CHRISTINA
Last Name:COLLINS
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 1:4990 CARRINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT OLIVE
Mailing Address - State:AL
Mailing Address - Zip Code:35117-3276
Mailing Address - Country:US
Mailing Address - Phone:205-514-6073
Mailing Address - Fax:
Practice Address - Street 1:655 FIELDSTOWN RD
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2411
Practice Address - Country:US
Practice Address - Phone:205-608-4677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23852183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist