Provider Demographics
NPI:1093889164
Name:ALBERT, ERIN (PHARMD, MBA)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:ALBERT
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12058 BIRD KEY BLVD
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-4181
Mailing Address - Country:US
Mailing Address - Phone:317-722-1671
Mailing Address - Fax:317-863-0962
Practice Address - Street 1:4600 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-3443
Practice Address - Country:US
Practice Address - Phone:317-940-6134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26018200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist