Provider Demographics
NPI:1912059767
Name:N H MEYER DRUG INC
Entity Type:Organization
Organization Name:N H MEYER DRUG INC
Other - Org Name:MEYER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:518-563-0151
Mailing Address - Street 1:10 PLATTSBURGH PLZ
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2205
Mailing Address - Country:US
Mailing Address - Phone:518-563-0151
Mailing Address - Fax:518-561-0919
Practice Address - Street 1:10 PLATTSBURGH PLZ
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2205
Practice Address - Country:US
Practice Address - Phone:518-563-0151
Practice Address - Fax:518-561-0919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5991940001Medicare NSC