Provider Demographics
NPI:1003154584
Name:COLLINS, ERIN HOPPER (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:HOPPER
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 BLANDING BLVD
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-5910
Mailing Address - Country:US
Mailing Address - Phone:904-276-6075
Mailing Address - Fax:904-276-6114
Practice Address - Street 1:950 BLANDING BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-5910
Practice Address - Country:US
Practice Address - Phone:904-276-6075
Practice Address - Fax:904-276-6114
Is Sole Proprietor?:No
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0038786183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist