Provider Demographics
NPI:1083903181
Name:WHITACRE, ERIN LYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:WHITACRE
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 1:2704 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1820
Mailing Address - Country:US
Mailing Address - Phone:330-759-2002
Mailing Address - Fax:330-759-0127
Practice Address - Street 1:2704 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1820
Practice Address - Country:US
Practice Address - Phone:330-759-2002
Practice Address - Fax:330-759-0127
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-26180183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist