Basic Information
| Provider Information | |||||||||
| NPI: | 1326023508 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MEAGHER | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | USCG HQ, COMDT (CG-1122) | ||||||||
| Address2: | 2100 2ND ST, RM 5314 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 205930001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5089686702 | ||||||||
| FaxNumber: | 5089686620 | ||||||||
| Practice Location | |||||||||
| Address1: | USCG HQ, COMDT (CG-1122) | ||||||||
| Address2: | 2100 2ND ST, RM 5314 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 205930001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5089686702 | ||||||||
| FaxNumber: | 5089686620 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 5569 | NM | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.