Provider Demographics
NPI:1467570093
Name:FRANKLIN E & ANN MARIE MEYER
Entity Type:Organization
Organization Name:FRANKLIN E & ANN MARIE MEYER
Other - Org Name:BERLENER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:SCHREINER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:573-486-2612
Mailing Address - Street 1:119 BAVARIAN HILLS PLZ
Mailing Address - Street 2:
Mailing Address - City:HERMANN
Mailing Address - State:MO
Mailing Address - Zip Code:65041-1604
Mailing Address - Country:US
Mailing Address - Phone:573-486-2612
Mailing Address - Fax:573-486-8869
Practice Address - Street 1:119 BAVARIAN HILLS PLZ
Practice Address - Street 2:
Practice Address - City:HERMANN
Practice Address - State:MO
Practice Address - Zip Code:65041-1604
Practice Address - Country:US
Practice Address - Phone:573-486-2612
Practice Address - Fax:573-486-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
MO20060136053336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO601425200Medicaid
2048910OtherPK
MO601425200Medicaid