Provider Demographics
NPI:1255935623
Name:AGEE, MEGAN BROOKE (PHARMD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:BROOKE
Last Name:AGEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:BROOKE AGEE
Other - Last Name:REID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:51 GREENO RD N
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-7314
Mailing Address - Country:US
Mailing Address - Phone:251-928-3125
Mailing Address - Fax:251-928-7853
Practice Address - Street 1:51 GREENO RD N
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-7314
Practice Address - Country:US
Practice Address - Phone:251-928-3125
Practice Address - Fax:251-928-7853
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL155901835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy