Provider Demographics
NPI:1568755650
Name:ELSON, ELIZABETH CLAIRE (PHARMD, BCPPS)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:CLAIRE
Last Name:ELSON
Suffix:
Gender:F
Credentials:PHARMD, BCPPS
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:CLAIRE
Other - Last Name:MARKWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2401 GILLHAM RD.
Mailing Address - Street 2:CHILDREN'S MERCY HOSPITAL PHARMACY DEPARTMENT
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108
Mailing Address - Country:US
Mailing Address - Phone:816-234-3443
Mailing Address - Fax:816-302-9886
Practice Address - Street 1:2401 GILLHAM RD.
Practice Address - Street 2:CHILDREN'S MERCY HOSPITAL PHARMACY DEPARTMENT
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-234-3443
Practice Address - Fax:816-302-9886
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MO20120288501835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program