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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARL JEFFREY ELIASON

Active Organization

CARL JEFFREY ELIASON is a Pharmacist organization located in SUPERIOR, Wisconsin. NPI 1205969102 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SUPERIOR, WI

Registration Details

NPI Number
1205969102
Provider Type
Organization
NPI Issued
Mar 13, 2007 (19.398572282194 yrs)
Last Updated
Sep 5, 2008
Licenses
7047042 (WI)
10055040 (WI)

Practice Information

Address
1124 BELKNAP ST
SUPERIOR, WI, 548802856
Browse WI providers · Browse ZIP 54880
Phone
7153947765
Fax
7153947765
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Customized Equipment (DME)
Additional Specialty
Pharmacist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.