Eric Walter Jorczak, PHARM.D.
Individual provider Active NPI Pharmacist · Ellsworth Afb, SD
NPI 1033422696 · NPPES record last updated Jul 26, 2010
Key facts
- NPI
- 1033422696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13269 (NE)
- Practice address
- 2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821 - Phone
- (605) 385-3250
- NPI assigned
- Jul 23, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13269 | NE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13269 | NE | Yes |
Addresses
Primary practice location
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Mailing address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Phone (605) 385-3250
Other providers in Ellsworth Afb, SD
- Debra Ann Hughes
- Anh N Ison
- Katana Jackson
- Michael Williamson Johnson
- Robin Jeannette Johnson
- Mark Iriwn Kampfe
- Hannah Crystal Kim-Ferger
- Shannon Brittany Kiperash
- Kelvin K Krause
- Scott Joseph Krebs
All providers in Ellsworth Afb, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.