Provider Demographics
NPI:1306190269
Name:WILLIAMS, ERIN (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HORICON
Mailing Address - State:WI
Mailing Address - Zip Code:53032-1655
Mailing Address - Country:US
Mailing Address - Phone:920-485-3400
Mailing Address - Fax:920-485-3409
Practice Address - Street 1:1448 HORICON ST
Practice Address - Street 2:
Practice Address - City:MAYVILLE
Practice Address - State:WI
Practice Address - Zip Code:53050-1467
Practice Address - Country:US
Practice Address - Phone:920-644-2080
Practice Address - Fax:920-644-2208
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16311-40183500000X
IA21517183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist