Provider Demographics
NPI:1073824876
Name:EGBERT, ERIN DRAPER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:DRAPER
Last Name:EGBERT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:CELESTE
Other - Last Name:DRAPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8097 HIGHWAY 70
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-7941
Mailing Address - Country:US
Mailing Address - Phone:901-377-2633
Mailing Address - Fax:901-377-5733
Practice Address - Street 1:8097 HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-7941
Practice Address - Country:US
Practice Address - Phone:901-377-2633
Practice Address - Fax:901-377-5733
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN134341835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist