Healthcare Provider Details

I. General information

NPI: 1104817048
Provider Name (Legal Business Name): ANTHONY LEE ESKER R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 E BROADWAY
STEELEVILLE IL
62288-1733
US

IV. Provider business mailing address

324 W BROADWAY
STEELEVILLE IL
62288-1407
US

V. Phone/Fax

Practice location:
  • Phone: 618-965-9180
  • Fax:
Mailing address:
  • Phone: 618-965-3511
  • Fax: 618-965-3553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: