MEDICARE: DR. ELIZABETH JANE VOGEL 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	03-2-26474	OH

General Provider Information

NPI Number	:	1891775060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH JANE VOGEL PHARMD

Provider Business Mailing Address
First Line	:	1036 SANDUSKY ST
Second Line	:
City	:	ASHLAND
State	:	OH
Zip	:	44805-1009
Country	:	US
Telephone Number	:	419-281-0743
Fax Number	:	419-281-0743

Provider Business Practice Location Address
First Line	:	1036 SANDUSKY ST
Second Line	:
City	:	ASHLAND
State	:	OH
Zip	:	44805-1009
Country	:	US
Telephone Number	:	419-281-0743
Fax Number	:	419-281-0743

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

Provider Enumeration Date	:	01/22/2006
Last Update Date	:	07/08/2007

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