Individual
MR. JOSEPH RYAN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6030 CENTRAL AVE, PORTAGE, IN 46368-3501
(219) 762-8030
Mailing address
6030 CENTRAL AVE, PORTAGE, IN 46368-3501
(219) 762-8030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020467A
IN
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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