Provider Demographics
NPI:1841737582
Name:EISENBEIS, ANNE C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:C
Last Name:EISENBEIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:C
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5901 ABBEY LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-4088
Mailing Address - Country:US
Mailing Address - Phone:314-324-6886
Mailing Address - Fax:
Practice Address - Street 1:530 EAST 24 HIGHWAY
Practice Address - Street 2:
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270
Practice Address - Country:US
Practice Address - Phone:660-263-6710
Practice Address - Fax:660-263-2269
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014037240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist