Basic Information
| Provider Information | |||||||||
| NPI: | 1518928688 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EICHEL | ||||||||
| FirstName: | LINDA | ||||||||
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| Credential: | R.PH. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1875 ASPEN DR | ||||||||
| Address2: | |||||||||
| City: | ZANESVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437011593 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404544044 | ||||||||
| FaxNumber: | 7404554912 | ||||||||
| Practice Location | |||||||||
| Address1: | 945 BETHESDA DR | ||||||||
| Address2: | NORTHSIDE PAVILION PHARMACY | ||||||||
| City: | ZANESVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437010801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404544044 | ||||||||
| FaxNumber: | 7404554912 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 03314356 | OH | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.