MEDICARE: DR. ELIZABETH AHRENS PHARMD

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
1	183500000X	Pharmacist	2012041647	MO

General Provider Information

NPI Number	:	1447851043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH AHRENS PHARMD

Provider Business Mailing Address
First Line	:	316 NE HIDDEN VALLEY WAY
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64064-1268
Country	:	US
Telephone Number	:	816-591-3225
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 SW US HIGHWAY 40
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-3232
Country	:	US
Telephone Number	:	816-224-4277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2020
Last Update Date	:	11/02/2020

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