Provider Demographics
NPI:1144760026
Name:MYER, JOAN SMITH (RPH)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:SMITH
Last Name:MYER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 HILLCREST CIRCLE
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-1705
Mailing Address - Country:US
Mailing Address - Phone:724-450-7060
Mailing Address - Fax:724-450-7062
Practice Address - Street 1:307 HILLCREST CIR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-1705
Practice Address - Country:US
Practice Address - Phone:724-450-7060
Practice Address - Fax:724-450-7062
Is Sole Proprietor?:No
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039546R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA454495OtherNABP