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General NPI Number Information
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NPI Number | 1376689489
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Entity Type | Individual
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Provider Name | MICHELE DENICE EICHHORST R.PH.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MAYO CLINIC 200 FIRST ST SW WF 5-21D
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City | ROCHESTER
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State | MN
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Zip | 55905-0001
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Country | US
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Telephone | 507-284-3397
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Fax | 507-266-9757
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Provider Business Mailing Address
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Address Line | 1824 20TH AVE NE
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City | ROCHESTER
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State | MN
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Zip | 55906-8000
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Country | US
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Telephone | 507-282-7343
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 112108-5
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License Number State | MN
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