Provider Demographics
NPI:1396146296
Name:GORSKI, ELIZABETH K (PHARMD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:K
Last Name:GORSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 UNIVERSITY AVE
Mailing Address - Street 2:APT 301
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2111
Mailing Address - Country:US
Mailing Address - Phone:312-231-9930
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-0001
Practice Address - Country:US
Practice Address - Phone:608-890-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17436-40183500000X
FLPS50755183500000X
IL051295807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist