Healthcare Provider Details

I. General information

NPI: 1194247478
Provider Name (Legal Business Name): ELIZABETH ROGERS EUBANKS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH CLARE ROGERS PHARMD

II. Dates (important events)

Enumeration Date: 07/08/2017
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PRATT ST STE 5000
DURHAM NC
27705-3976
US

IV. Provider business mailing address

1016 OLD BIRCH DR
BLYTHEWOOD SC
29016-9778
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-1018
  • Fax: 919-613-2422
Mailing address:
  • Phone: 803-673-6354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number37126
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number27003
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: