Provider Demographics
NPI:1235442906
Name:MEYERS, STEPHEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:MEYERS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 W PINNACLE PEAK RD
Mailing Address - Street 2:STE. 130
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-1217
Mailing Address - Country:US
Mailing Address - Phone:623-215-0407
Mailing Address - Fax:623-215-0423
Practice Address - Street 1:2075 W PINNACLE PEAK RD
Practice Address - Street 2:STE. 130
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-1217
Practice Address - Country:US
Practice Address - Phone:623-215-0407
Practice Address - Fax:623-215-0423
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017976183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist