Healthcare Provider Details

I. General information

NPI: 1164334025
Provider Name (Legal Business Name): ABIGAIL NOBLE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY NOBLE PHARMD

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N VINE ST
EL DORADO KS
67042-2055
US

IV. Provider business mailing address

407 E 3RD ST
EUREKA KS
67045-1700
US

V. Phone/Fax

Practice location:
  • Phone: 316-321-5330
  • Fax:
Mailing address:
  • Phone: 620-583-2837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-118605
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: