Provider Demographics
NPI:1275058802
Name:VUERNICK, ERIKA LINDSEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LINDSEY
Last Name:VUERNICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 QUAKER LN APT 2120
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-5036
Mailing Address - Country:US
Mailing Address - Phone:860-707-0318
Mailing Address - Fax:
Practice Address - Street 1:69 N EAGLEVILLE RD UNIT 3092
Practice Address - Street 2:
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06269
Practice Address - Country:US
Practice Address - Phone:860-486-0244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH05751183500000X
CTPCT.0014185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist