MEDICARE: ERIK GEORGE NEISER PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302039266	MI

General Provider Information

NPI Number	:	1457882201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIK GEORGE NEISER PHARM.D.

Provider Business Mailing Address
First Line	:	1001 E MOUNT HOPE AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-1822
Country	:	US
Telephone Number	:	517-316-0711
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 E MOUNT HOPE AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-1822
Country	:	US
Telephone Number	:	517-316-0711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	03/23/2017

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