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General NPI Number Information
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NPI Number | 1386871374
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Entity Type | Organization
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Legal Business Name | MYERS PHARMACY CONSULTANTS P.A.
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 2716 W EDDY DR
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City | TAMPA
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State | FL
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Zip | 33614-7209
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Country | US
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Telephone | 813-877-9756
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Fax | 813-877-9756
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Provider Business Mailing Address
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Address Line | 2716 W EDDY DR
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City | TAMPA
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State | FL
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Zip | 33614-7209
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Country | US
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Telephone | 813-877-9756
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Fax | 813-877-9756
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Authorized Official
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Title or Position | PRESIDENT/CONSULTANT
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Name | RUSSELL T MYERS
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Credential | R.PH.
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Telephone | 813-877-9756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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