Provider Demographics
NPI:1295010874
Name:MYERS, TERRENCE CAMERON JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:CAMERON
Last Name:MYERS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:120 N FEDERAL HWY
Mailing Address - Street 2:SUITE 302
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-3403
Mailing Address - Country:US
Mailing Address - Phone:561-585-4677
Mailing Address - Fax:800-325-2232
Practice Address - Street 1:18511 N US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-4456
Practice Address - Country:US
Practice Address - Phone:813-948-2742
Practice Address - Fax:813-948-0221
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist