Individual
ANDREW MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 GALAHAD CT, MANTUA, NJ 08051-2266
(856) 430-8622
Mailing address
514 GALAHAD CT, MANTUA, NJ 08051-2266
(856) 430-8622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP041486R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP041486R
PHARMACIST LICENSE
PA
Enumeration date
05/10/2019
Last updated
05/10/2019
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