Provider Demographics
NPI:1215377544
Name:NELSON, ERIK JAMES (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:JAMES
Last Name:NELSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2770
Mailing Address - Country:US
Mailing Address - Phone:509-455-9345
Mailing Address - Fax:509-455-4479
Practice Address - Street 1:508 W 6TH AVE STE 104
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2701
Practice Address - Country:US
Practice Address - Phone:509-455-9345
Practice Address - Fax:509-455-4479
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60343873183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist