Provider Demographics
NPI:1578308441
Name:MENKE, MARGARET ANN (RPH)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:MENKE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15600 NW 15TH AVE STE C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5609
Mailing Address - Country:US
Mailing Address - Phone:305-731-2318
Mailing Address - Fax:
Practice Address - Street 1:15600 NW 15TH AVE STE C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-5609
Practice Address - Country:US
Practice Address - Phone:305-731-2318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24948183500000X
FLPS66992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist