Individual
MICHAEL MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
(574) 231-6199
Mailing address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26023738A
IN
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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