Provider Demographics
NPI:1083053128
Name:EHLERT, ANN CELESTE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:CELESTE
Last Name:EHLERT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 JEFFERSON ST
Mailing Address - Street 2:STE 101
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-4843
Mailing Address - Country:US
Mailing Address - Phone:320-335-5207
Mailing Address - Fax:
Practice Address - Street 1:2209 JEFFERSON ST
Practice Address - Street 2:STE 101
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-4843
Practice Address - Country:US
Practice Address - Phone:320-335-5207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist