Provider Demographics
NPI:1023486917
Name:ABEL, ELIZABETH (CPHT, RPHT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ABEL
Suffix:
Gender:F
Credentials:CPHT, RPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19332 E 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-1450
Mailing Address - Country:US
Mailing Address - Phone:586-771-0030
Mailing Address - Fax:586-771-2169
Practice Address - Street 1:19332 E 10 MILE RD
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-1450
Practice Address - Country:US
Practice Address - Phone:586-771-0030
Practice Address - Fax:586-771-2169
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303002578183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician