Provider Demographics
NPI:1205819190
Name:EICHEL, ELIZABETH ANN (PHARMD,BCPP)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:EICHEL
Suffix:
Gender:F
Credentials:PHARMD,BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2327 LONGMONT LN E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-0673
Mailing Address - Country:US
Mailing Address - Phone:904-233-6508
Mailing Address - Fax:
Practice Address - Street 1:800 PRUDENTIAL DRIVE
Practice Address - Street 2:BAPTIST HOSPITAL-PHARMACY
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207
Practice Address - Country:US
Practice Address - Phone:904-202-2551
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-241411835P1300X
FLPS 380531835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric