Provider Demographics
NPI:1447722905
Name:MCINALLY, MEGAN SHAWN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:SHAWN
Last Name:MCINALLY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 W CLEARWATER AVE APT C104
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1969
Mailing Address - Country:US
Mailing Address - Phone:805-890-6831
Mailing Address - Fax:
Practice Address - Street 1:1350 N 1ST ST
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-1102
Practice Address - Country:US
Practice Address - Phone:541-567-5323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60877513183500000X
ORRPH0017025183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist