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NPI Code Detail

MEDICARE: EILENE EYNON RPH

MEDICARE:   EILENE  EYNON  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835G0303XGeriatric Pharmacist5302026810MI

General Provider Information

NPI Number : 1215066923
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILENE EYNON RPH
Provider Business Mailing Address
First Line : 3414 N CENTURY OAK CIR
Second Line :
City : OAKLAND
State : MI
Zip : 48363-2645
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3414 N CENTURY OAK CIR
Second Line :
City : OAKLAND
State : MI
Zip : 48363-2645
Country : US
Telephone Number : 248-230-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ EILENE EYNON RPH” Practice Location

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