Provider Demographics
NPI:1285010637
Name:OTTE, ERICA JEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:JEAN
Last Name:OTTE
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 1:136 BUTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-9141
Mailing Address - Country:US
Mailing Address - Phone:724-766-9562
Mailing Address - Fax:
Practice Address - Street 1:1340 MAIN ST
Practice Address - Street 2:
Practice Address - City:BURGETTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15021-1080
Practice Address - Country:US
Practice Address - Phone:724-947-4722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-08
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449607183500000X
PARPI009718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist