Provider Demographics
NPI:1043815764
Name:BLEMKER, ERIK LEAMON (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:LEAMON
Last Name:BLEMKER
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 1:100 GLEN OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3025
Mailing Address - Country:US
Mailing Address - Phone:615-826-3573
Mailing Address - Fax:615-826-3573
Practice Address - Street 1:100 GLEN OAK BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3025
Practice Address - Country:US
Practice Address - Phone:615-826-3573
Practice Address - Fax:615-826-4264
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist