Individual
MR. LARRY LEE MYERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
414 EAST AVE, HOLDREGE, NE 68949-2215
(308) 995-5414
(308) 995-2051
Mailing address
73581 Q RD, PO BOX 804, HOLDREGE, NE 68949-4139
(308) 995-5414
(308) 995-2051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8713
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2802773
NCPDP #
NE
05
—
47072558800
—
NE
Enumeration date
02/22/2006
Last updated
12/20/2019
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