Provider Demographics
NPI:1871724534
Name:MILNE, MEGAN JOLLEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:JOLLEY
Last Name:MILNE
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 1:7050 UNION PARK CTR
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-4169
Mailing Address - Country:US
Mailing Address - Phone:801-858-0411
Mailing Address - Fax:
Practice Address - Street 1:7050 UNION PARK CTR
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-4169
Practice Address - Country:US
Practice Address - Phone:801-858-0411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5370864-17011835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist