Provider Demographics
NPI:1376037531
Name:EISCHENS, SHELBY JEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:JEAN
Last Name:EISCHENS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:JEAN
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 SUPERIOR ST
Mailing Address - Street 2:
Mailing Address - City:EMMETSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50536-1159
Mailing Address - Country:US
Mailing Address - Phone:515-570-9885
Mailing Address - Fax:
Practice Address - Street 1:2216 MAIN ST
Practice Address - Street 2:
Practice Address - City:EMMETSBURG
Practice Address - State:IA
Practice Address - Zip Code:50536-2447
Practice Address - Country:US
Practice Address - Phone:712-852-2886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist