Provider Demographics
NPI:1295103950
Name:WYER, MEAGAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:
Last Name:WYER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-8443
Mailing Address - Country:US
Mailing Address - Phone:970-353-9780
Mailing Address - Fax:
Practice Address - Street 1:6 TOWN PLZ
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5104
Practice Address - Country:US
Practice Address - Phone:970-247-2921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-10
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist