Provider Demographics
NPI:1073124178
Name:MARRIOTT, ERIN (RPH)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MARRIOTT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 NEW RIVER INLET RD UNIT 3505
Mailing Address - Street 2:
Mailing Address - City:N TOPSAIL BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28460-8591
Mailing Address - Country:US
Mailing Address - Phone:910-297-7646
Mailing Address - Fax:
Practice Address - Street 1:171 17TH ST NW STE 1400
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30363-1069
Practice Address - Country:US
Practice Address - Phone:404-554-1766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16051183500000X
OH03323968183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist