Provider Demographics
NPI:1720106222
Name:ZIEGER, ELIZABETH ANN (RPH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:ZIEGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 THE MDW
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-2011
Mailing Address - Country:US
Mailing Address - Phone:716-652-7325
Mailing Address - Fax:
Practice Address - Street 1:4255 MCKINLEY PKWY
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-1005
Practice Address - Country:US
Practice Address - Phone:716-646-0598
Practice Address - Fax:716-646-0601
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040124183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist