Provider Demographics
NPI:1184919052
Name:MEYER, DIANE E (RPH)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:E
Last Name:MEYER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 OAK POINT RD
Mailing Address - Street 2:T-2351
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-9654
Mailing Address - Country:US
Mailing Address - Phone:440-985-7101
Mailing Address - Fax:440-985-7109
Practice Address - Street 1:8000 OAK POINT RD
Practice Address - Street 2:T-2351
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-9654
Practice Address - Country:US
Practice Address - Phone:440-985-7101
Practice Address - Fax:440-985-7109
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-18
Last Update Date:2011-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03118957183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist