Individual
JERRY LEE MYERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4041 HADLEY RD STE M, SOUTH PLAINFIELD, NJ 07080-1111
(908) 222-1011
(908) 222-8877
Mailing address
18 FOXWOOD LN, RANDOLPH, NJ 07869-4765
(973) 895-9536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RIO2490400
NJ
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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