Provider Demographics
NPI:1801002332
Name:MEYER, MARJORIE LYNN (RD, PHARMD)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:LYNN
Last Name:MEYER
Suffix:
Gender:F
Credentials:RD, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3253 E FAIRBROOK ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-5512
Mailing Address - Country:US
Mailing Address - Phone:480-830-2330
Mailing Address - Fax:
Practice Address - Street 1:SCOTTSDALE HEALTHCARE HOSPITAL, PHARMACY DEPT.
Practice Address - Street 2:7400 E. OSBORN RD.
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251
Practice Address - Country:US
Practice Address - Phone:480-882-4854
Practice Address - Fax:480-945-4405
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ711998133V00000X
AZ11970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Not Answered183500000XPharmacy Service ProvidersPharmacist