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NPI 1558535120

NPI 1558535120 : JUSTIN JOSEPH MEYERS PHARM. D. : TREXLERTOWN, PA

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General NPI Number Information
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    NPI Number           |    1558535120
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    Entity Type          |    Individual 
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    Provider Name        |    JUSTIN JOSEPH MEYERS PHARM. D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/15/2008
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    Last Update Date     |    11/13/2020
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Provider Practice Location Address
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    Address Line         |    7150 HAMILTON BLVD 
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    City                 |    TREXLERTOWN
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    State                |    PA
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    Zip                  |    18087-9725
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    Country              |    US
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    Telephone            |    610-391-0254
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    215 RIDINGS CIR 
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    City                 |    MACUNGIE
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    State                |    PA
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    Zip                  |    18062-1808
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RP439456
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    License Number State |    PA
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