Healthcare Provider Details

I. General information

NPI: 1669776340
Provider Name (Legal Business Name): TAHNEE L MEYER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 08/31/2024
Certification Date: 08/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 STATE ST
NEW ALBANY IN
47150-4943
US

IV. Provider business mailing address

1945 STATE ST
NEW ALBANY IN
47150-4943
US

V. Phone/Fax

Practice location:
  • Phone: 812-944-6500
  • Fax: 812-944-6900
Mailing address:
  • Phone: 812-944-6500
  • Fax: 812-944-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26017319A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code1835C0207X
TaxonomyCompounded Sterile Preparations Pharmacist
License Number26017319A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: