Provider Demographics
NPI:1538893235
Name:MEYERS, DONALD JOASEPH (RPH)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:JOASEPH
Last Name:MEYERS
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 1:2638 FM 16
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:TX
Mailing Address - Zip Code:75103-6068
Mailing Address - Country:US
Mailing Address - Phone:903-530-3377
Mailing Address - Fax:
Practice Address - Street 1:1007 E TYLER ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-2143
Practice Address - Country:US
Practice Address - Phone:903-675-0235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist