Provider Demographics
NPI:1194837260
Name:LEMPIN, ERICH A (RPH)
Entity Type:Individual
Prefix:MR
First Name:ERICH
Middle Name:A
Last Name:LEMPIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1594 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-1713
Mailing Address - Country:US
Mailing Address - Phone:631-587-8510
Mailing Address - Fax:631-957-9710
Practice Address - Street 1:178 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-5951
Practice Address - Country:US
Practice Address - Phone:631-957-9723
Practice Address - Fax:631-957-9710
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030887-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY030887-1OtherNY STATE LICENSE NUMBER