Doctor Name: | KIMBERLY EHLERT |
NPI Number: | 1003278961 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARMD, RPH |
License Number: | 118452 |
Business Practice Address: | 909 Fulton St Se 3rd Floor, Clinic And Surgery Center Minneapolis, MN - 554554800 |
Business Phone Number: | 6126725341 |
Business Fax Number: | |
Mailing Address: | 711 Kasota Ave Se, MINNEAPOLIS |
State: | MN |
Postal Code: | 554142842 |
Phone Number: | 6126725341 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2016 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 118452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |