Provider Demographics
NPI:1548409915
Name:ORANGE, ELIZABETH M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:ORANGE
Suffix:
Gender:F
Credentials:PHARMD
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Other - Credentials:
Mailing Address - Street 1:405 LAKE COOK RD
Mailing Address - Street 2:SUITE A20
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4993
Mailing Address - Country:US
Mailing Address - Phone:847-664-8100
Mailing Address - Fax:847-664-8101
Practice Address - Street 1:405 LAKE COOK RD
Practice Address - Street 2:SUITE A20
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4993
Practice Address - Country:US
Practice Address - Phone:847-664-8100
Practice Address - Fax:847-664-8101
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL051291675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist