Provider Demographics
NPI:1073850939
Name:MYERS, NORVIK TAKEIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NORVIK
Middle Name:TAKEIA
Last Name:MYERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 N MONROE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-7954
Mailing Address - Country:US
Mailing Address - Phone:850-514-0032
Mailing Address - Fax:850-514-0035
Practice Address - Street 1:5810 N MONROE ST STE 200
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-7954
Practice Address - Country:US
Practice Address - Phone:850-514-0032
Practice Address - Fax:850-514-0035
Is Sole Proprietor?:No
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist