Provider Demographics
NPI:1114013810
Name:MYERS, ERIC NGHIA (CPHT,BS)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:NGHIA
Last Name:MYERS
Suffix:
Gender:M
Credentials:CPHT,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5119 SOUTH 600 WEST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84405
Mailing Address - Country:US
Mailing Address - Phone:801-399-1151
Mailing Address - Fax:801-399-1154
Practice Address - Street 1:5169 S COTTONWOOD ST BLDG 2
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6767
Practice Address - Country:US
Practice Address - Phone:801-507-3026
Practice Address - Fax:801-507-3019
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3367781717183700000X
UT336778-1717183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT336778-1717OtherSTATE LICENSE
30064579OtherCPHT