Pamela Elizabeth Ehlers, BS
Individual provider Active NPI Pharmacist · Red Bud, IL
NPI 1174744882 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174744882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 1375 S Main St
Red Bud, IL 62278-1352 - Phone
- (618) 282-2870
- Fax
- (618) 282-6488
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051027957 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Groceries of Southern Illinois, LLC. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Yes |
Addresses
Primary practice location
1375 S Main St
Red Bud, IL 62278-1352
Mailing address
406 Friendly Dr
Red Bud, IL 62278-1742
Phone (618) 282-3909
Other providers in Red Bud, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.