Provider Demographics
NPI:1851380588
Name:MEYERS, CHAD J (RPH)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:J
Last Name:MEYERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8551 WAYNESBORO WAY
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45068-7714
Mailing Address - Country:US
Mailing Address - Phone:937-248-1346
Mailing Address - Fax:
Practice Address - Street 1:675 E 2ND ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-1770
Practice Address - Country:US
Practice Address - Phone:937-704-9325
Practice Address - Fax:937-704-9327
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-23785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist