MEDICARE: CHRISTINA MARIE MYERS PHARMD, RPH. BCPS

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
1	183500000X	Pharmacist	03127379	OH

General Provider Information

NPI Number	:	1295239358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MARIE MYERS PHARMD, RPH. BCPS

Provider Business Mailing Address
First Line	:	205 E PALMER RD
Second Line	:
City	:	BELLEFONTAINE
State	:	OH
Zip	:	43311-2298
Country	:	US
Telephone Number	:	937-599-7054
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 E PALMER RD
Second Line	:
City	:	BELLEFONTAINE
State	:	OH
Zip	:	43311-2298
Country	:	US
Telephone Number	:	937-599-7054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2018
Last Update Date	:	03/22/2018

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