Provider Demographics
NPI:1104263029
Name:ELFERS, MICHAEL B (PHARMD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:B
Last Name:ELFERS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3944 BRENDAN LN
Mailing Address - Street 2:UNIT 508
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-2249
Mailing Address - Country:US
Mailing Address - Phone:440-670-0982
Mailing Address - Fax:
Practice Address - Street 1:3944 BRENDAN LN
Practice Address - Street 2:UNIT 508
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-2249
Practice Address - Country:US
Practice Address - Phone:440-670-0982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-01
Last Update Date:2013-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-230680-2183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist