ELIZABETH KOLOC (NPI# 1205226792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205226792 |
| Entity Type | Individual |
| Full Name | ELIZABETH KOLOC |
| Practice Address |
111 Pioneer Trl Chaska MN 55318-1121 |
| Practice Telephone | 9523613766 |
| Practice Fax Number | 9526793190 |
| Mailing Telephone | 9523613766 |
| Mailing Fax Number | 9526793190 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 722392 | MN | Pharmacy Service Providers |
| Street Address |
111 PIONEER TRL |
| City | CHASKA |
| State | MN |
| Zip Code | 55318-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770524118 | Sadie M Christianson | Pharmacist | 111 Pioneer Trl, Chaska, MN 55318-1121 | 2006-06-09 |
| 1972986412 | Tabitha Peterson | Pharmacist | 111 Pioneer Trl, Chaska, MN 55318-1121 | 2015-07-01 |
| 1831596469 | Marty Ray Sandvig | Pharmacist | 111 Pioneer Trl, Chaska, MN 55318-1121 | 2014-11-25 |
| 1952663833 | Rachel Lynn Leier | Nurse Practitioner | 111 Pioneer Trl, Chaska, MN 55318-1121 | 2012-06-15 |
| 1619262094 | Jessica M Speers | Pharmacist | 111 Pioneer Trl, T-1352, Chaska, MN 55318 | 2011-06-14 |
| 1346534104 | Janel Marie Holm I | Pharmacist | 111 Pioneer Trl, T-1352, Chaska, MN 55318-1121 | 2011-06-08 |
| 1730473901 | Brenda Keske | Pharmacist | 111 Pioneer Trl, Chaska, MN 55318-1121 | 2011-06-06 |
| 1811295322 | Angela Arora Madan | Pharmacist | 111 Pioneer Trl, Chaska, MN 55318-1121 | 2011-03-08 |
| 1326248683 | Thomas M Dvorak | Physician Assistant | 111 Pioneer Trl, Chaska, MN 55318-1121 | 2007-07-24 |
| 1811066269 | Ulrick Eyecare, Inc. | Optometrist | 111 Pioneer Trl, Chaska, MN 55318-1121 | 2006-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
| 1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
| 1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
| 1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
| 1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
| 1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
| 1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
| 1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
| 1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
| 1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
| Find all providers in zip 55318 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340089 | Jennifer Betty Kindem | Pharmacy Technician | 20861 Illinois Path, Lakeville, MN 55044-5881 | 2019-08-05 |
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1629577085 | Brianna Dee Olson | Pharmacy Technician | 302 E Howard St Ste 230, Hibbing, MN 55746-4203 | 2018-02-12 |
| 1740704816 | Rebecca Anne Rendall | Pharmacy Technician | 550 Vandalia St Ste 175, Saint Paul, MN 55114-2019 | 2017-07-31 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1528509668 | Amanda Lynn Farrell | Pharmacy Technician | 6510 Cedar Lake Rd S, St Louis Park, MN 55426-2811 | 2017-03-08 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1588106702 | John Wasko | Pharmacy Technician | 2535 Cochrane Dr, Woodbury, MN 55125-2967 | 2016-11-07 |
| 1689026890 | Rachael Ann Latchana | Pharmacy Technician | 11030 Quebec Cir, Bloomington, MN 55438-2804 | 2016-07-12 |
| 1447640982 | Gina Joan Gilmour Sorsen | Pharmacy Technician | 2001 Edgewood Ct Sw, Rochester, MN 55902-2274 | 2015-02-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.