Organization · Type 2 NPI

Carl Jeffrey Eliason

Pharmacist · Superior, WI

NPI number 1205969102 Active

Practice location

1124 Belknap St
Superior, WI 54880-2856

Fax (715) 394-7765

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X10055040 (WI)
Customized Equipment (DME) 332BC3200XNone listed
Pharmacy 333600000X7047042 (WI)

Pharmacist: 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…

About NPI 1205969102

Carl Jeffrey Eliason's National Provider Identifier is 1205969102, issued on Mar 13, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Superior, WI. The record was last updated on Sep 5, 2008.