Jennifer Eastman, CPHT
Individual provider Active NPI Pharmacy Technician · Ladysmith, WI
NPI 1154760569 · NPPES record last updated Jun 19, 2013
Key facts
- NPI
- 1154760569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 1007071 (MN)
- Practice address
- 400 W 9TH St N
Ladysmith, WI 54848-1249 - Phone
- (715) 532-6614
- Fax
- (715) 532-9293
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1007071 | MN | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 1007071 | MN | Yes |
Addresses
Primary practice location
400 W 9TH St N
Ladysmith, WI 54848-1249
Mailing address
400 W 9TH St N
Ladysmith, WI 54848-1249
Phone (715) 532-6614
Other providers in Ladysmith, WI
- Jenafer Marie Donohue
- Neil Thomas Donohue
- Thomas P. Donohue
- Dr Stephen Reisner Dentistry SC
- Theodore John East
- Barry Emrick
- Tonya Marie Evjen
- Express Medical Incorporated
- Maria Fairbert
- Family Health Center of Marshfield Inc
All providers in Ladysmith, WI · Pharmacy Technician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2013. 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.