Elizabeth E Eickman, PHARM.D.
Individual provider Active NPI Pharmacist · Cameron, MO
NPI 1720393762 · NPPES record last updated Aug 14, 2010
Key facts
- NPI
- 1720393762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13391 (NE)
- Practice address
- 1111 Euclid Ave
Cameron, MO 64429-2005 - Phone
- (816) 861-4700
- NPI assigned
- Aug 14, 2010
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13391 | NE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13391 | NE | Yes |
Addresses
Primary practice location
1111 Euclid Ave
Cameron, MO 64429-2005
Mailing address
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Phone (816) 861-4700
Other names
- Elizabeth E Perrigo
Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 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.