Provider Demographics
NPI:1366740599
Name:NEYERS, RICHARD J JR (RPH)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:J
Last Name:NEYERS
Suffix:JR
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 1:501 E BASIN RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-4230
Mailing Address - Country:US
Mailing Address - Phone:302-328-4173
Mailing Address - Fax:302-328-4179
Practice Address - Street 1:501 E BASIN RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4230
Practice Address - Country:US
Practice Address - Phone:302-328-4173
Practice Address - Fax:302-328-4179
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0001746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist