Provider Demographics
NPI:1831705722
Name:EILRICH, SAMANTHA JANE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:JANE
Last Name:EILRICH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:JANE
Other - Last Name:BLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:12834 CHICKORY DR
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:OH
Mailing Address - Zip Code:45889-9788
Mailing Address - Country:US
Mailing Address - Phone:419-957-4422
Mailing Address - Fax:
Practice Address - Street 1:1900 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1216
Practice Address - Country:US
Practice Address - Phone:419-423-5218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist