Provider Demographics
NPI:1225312812
Name:NIEHAUS, ERIN (PHARM D)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:NIEHAUS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:SWEET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6305 BANCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-2229
Mailing Address - Country:US
Mailing Address - Phone:314-303-0081
Mailing Address - Fax:
Practice Address - Street 1:6305 BANCROFT AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-2229
Practice Address - Country:US
Practice Address - Phone:314-303-0081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-01
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010027161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist