Meehan, Debra M

Meehan, Debra M is an individual health care provider with primary practice located at 11350 S Cicero Ave , Alsip IL 60803-2830. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Meehan, Debra M can be contacted via phone (708) 293-1122.

Contact Information

Primary practice address
11350 S Cicero Ave Alsip IL 60803-2830
Phone: (708) 293-1122
Fax: (708) 293-1144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051038656 Illinois

Profile Details

NPI number 1447521141
LBN Legal business name Meehan, Debra M
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2012
Last updated Apr 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447521141 NPPES
Illinois MEDICAID 362590334001

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