Individual
DR. MATTHEW JAMES MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM-D, RPH
Contact information
Practice address
1333 W 5TH ST STE 107, SHERIDAN, WY 82801-2752
(307) 673-3188
(307) 673-3190
Mailing address
1333 W 5TH ST STE 107, SHERIDAN, WY 82801-2752
(307) 673-3188
(307) 673-3190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3166
WY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
3166
WY
247ZC0005X
Clinical Laboratory Director (Non-physician)
53D2181741
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3166
PHARMACY LICENSE NUMBER
WY
Enumeration date
12/03/2008
Last updated
12/10/2020
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