Provider Demographics
NPI:1689471724
Name:MYRICK, MEGAN RILEY (PHARMD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:RILEY
Last Name:MYRICK
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 MISTY CLOUD LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-2389
Mailing Address - Country:US
Mailing Address - Phone:865-742-0977
Mailing Address - Fax:
Practice Address - Street 1:10008 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2209
Practice Address - Country:US
Practice Address - Phone:865-231-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48255183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist