Mrs Sally Ann Eke Hagestad, RPH is a
Pharmacist based in Lenore, Idaho. Mrs Sally Ann Eke Hagestad is licensed to practice in Idaho (license number P6090) and her current practice location is
34987 Jacks Canyon Rd, Lenore, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 816-6770.
NPI number for Mrs Sally Ann Eke Hagestad is 1184045791 and her current mailing address is 34987 Jacks Canyon Rd, Lenore, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184045791.
Healthcare Provider's Profile
| Full Name | Mrs Sally Ann Eke Hagestad |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 34987 Jacks Canyon Rd, Lenore, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184045791
- Provider Enumeration Date: 12/27/2013
- Last Update Date: 12/27/2013
Medical Identifiers
Medical identifiers for Mrs Sally Ann Eke Hagestad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184045791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | P6090 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sally Ann Eke Hagestad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Sally Ann Eke Hagestad, RPH
34987 Jacks Canyon Rd,
Lenore, ID 83541-6264
Ph: (208) 816-6770 | Mrs Sally Ann Eke Hagestad, RPH
34987 Jacks Canyon Rd,
Lenore, ID 83541-6264
Ph: (208) 816-6770 |
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