Provider Demographics
NPI:1669776340
Name:MEYER, TAHNEE L (RPH)
Entity type:Individual
Prefix:
First Name:TAHNEE
Middle Name:L
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 1:1945 STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4943
Mailing Address - Country:US
Mailing Address - Phone:812-944-6500
Mailing Address - Fax:812-944-6900
Practice Address - Street 1:1945 STATE ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4943
Practice Address - Country:US
Practice Address - Phone:812-944-6500
Practice Address - Fax:812-944-6900
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017319A183500000X, 1835C0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile Preparations
No183500000XPharmacy Service ProvidersPharmacist