Provider Demographics
NPI:1831795855
Name:BRABAND, MEGAN E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:E
Last Name:BRABAND
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 1:1830 SUGAR MAPLE CT
Mailing Address - Street 2:
Mailing Address - City:CARVER
Mailing Address - State:MN
Mailing Address - Zip Code:55315-4569
Mailing Address - Country:US
Mailing Address - Phone:419-290-2623
Mailing Address - Fax:
Practice Address - Street 1:23800 STATE HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:MN
Practice Address - Zip Code:55331-3152
Practice Address - Country:US
Practice Address - Phone:952-401-3990
Practice Address - Fax:952-401-3881
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-06
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16040183500000X
IL051.294576183500000X
MN123141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist