Provider Demographics
NPI:1245509199
Name:MYERS DISCOUNT PHARMACY, INC.
Entity type:Organization
Organization Name:MYERS DISCOUNT PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MYERS
Authorized Official - Last Name:FREDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-591-7064
Mailing Address - Street 1:303 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:NC
Mailing Address - Zip Code:28339-2222
Mailing Address - Country:US
Mailing Address - Phone:910-591-7064
Mailing Address - Fax:910-897-4527
Practice Address - Street 1:87 W CORNELIUS HARNETT BLVD
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-6848
Practice Address - Country:US
Practice Address - Phone:910-591-7064
Practice Address - Fax:910-897-4527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC111073336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy