Eilene Eynon, RPH

Individual provider Active NPI Geriatric Pharmacist · Oakland, MI

NPI 1215066923 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215066923
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Pharmacist 1835G0303X
License
5302026810 (MI)
Practice address
3414 N Century Oak Cir
Oakland, MI 48363-2645
Phone
(248) 230-8000
NPI assigned
Mar 6, 2007
Sex
Female
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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302026810MIMDGeriatric Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 5302026810 MI Yes

Addresses

Primary practice location

3414 N Century Oak Cir
Oakland, MI 48363-2645

Mailing address

3414 N Century Oak Cir
Oakland, MI 48363-2645

Other providers in Oakland, MI

All providers in Oakland, MI · Geriatric Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.