Provider Demographics
NPI:1164033221
Name:WEATHERINGTON, ERIKA (PHARMD, RPH, CPH)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:WEATHERINGTON
Suffix:
Gender:F
Credentials:PHARMD, RPH, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 US HIGHWAY 92 E
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-2649
Mailing Address - Country:US
Mailing Address - Phone:863-666-6670
Mailing Address - Fax:863-666-6675
Practice Address - Street 1:2425 US HIGHWAY 92 E
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-2649
Practice Address - Country:US
Practice Address - Phone:863-666-6670
Practice Address - Fax:863-666-6675
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS51449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist