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Carl Jeffrey Eliason — NPI 1205969102, Superior, WI | NPI Central

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NPI 1205969102

OrganizationActive

Carl Jeffrey Eliason

NPI 1205969102 · Pharmacist · Superior, WI

Provider details

NPI number: 1205969102
Entity type: Organization
Primary specialty: PharmacistPharmacy Service Providers
Organization subpart: No
Authorized official: Carl Eliason, Owner Pharmacist(715) 394-7765
License: 7047042 (WI)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 10055040 (WI)
Pharmacy Service Providers
Pharmacy333600000XLicense 7047042 (WI)
Suppliers
Customized Equipment (DME)332BC3200X
Suppliers

Practice location

1124 Belknap St

Superior, WI 54880-2856

Phone: (715) 394-7765

Fax: (715) 394-7765

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

1124 Belknap St

Superior, WI 54880-2856

Other names (DBA / former)

Doing business as: Peoples Drug

Registry dates

Enumerated: 2007-03-13
Last updated: 2008-09-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.