Individual
MEGAN SUZANNE STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
610 BYPASS RD, BRANDENBURG, KY 40108-1730
(270) 422-5300
Mailing address
266 BUD WILSON RD, BRANDENBURG, KY 40108-9592
(270) 945-7988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019486
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019486
KENTUCKY BOARD OF PHARMACY
KY
Enumeration date
08/31/2017
Last updated
08/31/2017
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