Provider Demographics
NPI:1114126109
Name:BURMAN, ERICA LYNNE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:LYNNE
Last Name:BURMAN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23122 SAINT FRANCIS BLVD NW
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCIS
Mailing Address - State:MN
Mailing Address - Zip Code:55070-9807
Mailing Address - Country:US
Mailing Address - Phone:763-753-0222
Mailing Address - Fax:763-753-3994
Practice Address - Street 1:23122 SAINT FRANCIS BLVD NW
Practice Address - Street 2:
Practice Address - City:SAINT FRANCIS
Practice Address - State:MN
Practice Address - Zip Code:55070-9807
Practice Address - Country:US
Practice Address - Phone:763-753-0222
Practice Address - Fax:763-753-3994
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118829183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist