Elizabeth Alexandra Belcher
Individual provider Active NPI Pharmacist · Lakewood, OH
NPI 1669726246 · NPPES record last updated Nov 2, 2012
Key facts
- NPI
- 1669726246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03330867 (OH)
- Practice address
- 17451 Northwood Ave
Lakewood, OH 44107-2209 - Phone
- (419) 934-9280
- NPI assigned
- Nov 2, 2012
- 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 |
|---|---|---|---|
| 03330867 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03330867 | OH | Yes |
Addresses
Primary practice location
17451 Northwood Ave
Lakewood, OH 44107-2209
Mailing address
17451 Northwood Ave
Lakewood, OH 44107-2209
Phone (419) 934-9280
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2012. 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.