Amelia Andacht
Individual provider Active NPI Pharmacist · Eagle River, WI
NPI 1932642071 · NPPES record last updated Nov 21, 2016
Key facts
- NPI
- 1932642071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18497 - 40 (WI)
- Practice address
- 925 E Wall St
Eagle River, WI 54521-8720 - Phone
- (715) 479-6413
- NPI assigned
- Nov 21, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 18497 - 40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T a Solberg Co Inc | Past | Accepting new patients | |
| T a Solberg Co Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18497 - 40 | WI | Yes |
Addresses
Primary practice location
925 E Wall St
Eagle River, WI 54521-8720
Mailing address
925 E Wall St
Eagle River, WI 54521-8720
Phone (715) 479-6413
Other providers in Eagle River, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2016. 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.