Healthcare Provider Details

I. General information

NPI: 1154608602
Provider Name (Legal Business Name): HANNAH FAITH EICHELBERGER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2011
Last Update Date: 03/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 SW 7TH ST
TOPEKA KS
66606-2489
US

IV. Provider business mailing address

1712 TROON LN
LAWRENCE KS
66047-1916
US

V. Phone/Fax

Practice location:
  • Phone: 785-295-8000
  • Fax:
Mailing address:
  • Phone: 913-553-1113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-15387
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2011027357
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: