Provider Demographics
NPI:1508274390
Name:FELMLEE, JEFF (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:
Last Name:FELMLEE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-4412
Mailing Address - Country:US
Mailing Address - Phone:785-841-5110
Mailing Address - Fax:785-832-6833
Practice Address - Street 1:1015 W 23RD ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-4412
Practice Address - Country:US
Practice Address - Phone:785-841-5110
Practice Address - Fax:785-832-6833
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist