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NPI Code Detail

MEDICARE: MR. JOHN MYERS JR.

MEDICARE: MR. JOHN MYERS JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist18539LA

General Provider Information

NPI Number : 1053730333
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN MYERS JR.
Provider Business Mailing Address
First Line : 28270 WALKER RD S
Second Line :
City : WALKER
State : LA
Zip : 70785-6028
Country : US
Telephone Number : 225-667-6398
Fax Number :
Provider Business Practice Location Address
First Line : 28270 WALKER RD S
Second Line :
City : WALKER
State : LA
Zip : 70785-6028
Country : US
Telephone Number : 225-667-6398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 04/15/2014

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Directions to “ MR. JOHN MYERS JR. ” Practice Location

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