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Carl Jeffrey Eliason
Pharmacy in Superior, Wisconsin
NPI 1205969102

Carl Jeffrey Eliason is a Pharmacy based in Superior, WI. Carl Jeffrey Eliason practices in Superior, WI. The NPI Number for Carl Jeffrey Eliason is 1205969102 and holds a License No. 10055040 (Wisconsin).

The current practice location address for Carl Jeffrey Eliason is 1124 Belknap St, Superior, WI and can be reached out via phone at 715-394-7765 and via fax at 715-394-7765.

Location: 1124 Belknap St, Superior, WI, 54880-2856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205969102
Provider Name
Carl Jeffrey Eliason
Credential
Provider Entity Type
Organization
Address
1124 Belknap St, Superior, WI, 54880-2856
Phone Number
715-394-7765
Fax Number
715-394-7765
Provider Enumeration Date
03/13/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33075100 05 WI
institution
Provider Business Practice Location Address Details
Address
1124 Belknap St
City
Superior
State
Wisconsin
Zip
54880-2856
Phone Number
715-394-7765
Fax Number
715-394-7765
person
Provider Business Mailing Address Details
Address
1124 Belknap St
City
Superior
State
Wisconsin
Zip
54880-2856
Phone Number
715-394-7765
Fax Number
715-394-7765
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
7047042 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
10055040 (Wisconsin)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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