Provider Demographics
NPI:1083278014
Name:EISEMANN, FRANCES ROCHELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:ROCHELLE
Last Name:EISEMANN
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:PO BOX 4220
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-4220
Mailing Address - Country:US
Mailing Address - Phone:970-668-5961
Mailing Address - Fax:970-668-3703
Practice Address - Street 1:840 SUMMIT BOULEVARD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-4220
Practice Address - Country:US
Practice Address - Phone:970-668-5961
Practice Address - Fax:970-668-3703
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17153183500000X
CO16787183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist