Individual
MEGAN K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
660 N EDWARDS BLVD, LAKE GENEVA, WI 53147-4595
(262) 248-5611
(847) 726-2584
Mailing address
660 N EDWARDS BLVD, LAKE GENEVA, WI 53147-4595
(262) 248-5611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288289
IL
183500000X
Pharmacist
13246-040
WI
Other
Enumeration date
06/17/2011
Last updated
02/02/2021
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