Provider Demographics
NPI:1669074654
Name:MEISMER, PAUL JAMES (RPH)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JAMES
Last Name:MEISMER
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 1:2501 W WHEELER AVE
Mailing Address - Street 2:
Mailing Address - City:ARANSAS PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78336-5916
Mailing Address - Country:US
Mailing Address - Phone:361-758-2867
Mailing Address - Fax:361-758-1340
Practice Address - Street 1:2501 W WHEELER AVE
Practice Address - Street 2:
Practice Address - City:ARANSAS PASS
Practice Address - State:TX
Practice Address - Zip Code:78336-5916
Practice Address - Country:US
Practice Address - Phone:361-758-2867
Practice Address - Fax:361-758-1340
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34102183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist