Provider Demographics
NPI:1265533483
Name:MYERS, STEVEN W (RPH)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:W
Last Name:MYERS
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 1:326 SABAL PARK PL
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-6071
Mailing Address - Country:US
Mailing Address - Phone:406-690-1151
Mailing Address - Fax:
Practice Address - Street 1:7800 US HWY 17-92 UNIT 160
Practice Address - Street 2:WINN-DIXIE
Practice Address - City:FERN PARK
Practice Address - State:FL
Practice Address - Zip Code:32730
Practice Address - Country:US
Practice Address - Phone:407-339-5661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0033039183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist