Provider Demographics
NPI:1316388945
Name:HERSHEY, ERIC C (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:C
Last Name:HERSHEY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 E WASHINGTON BLVD STE P
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-3210
Mailing Address - Country:US
Mailing Address - Phone:260-222-2952
Mailing Address - Fax:
Practice Address - Street 1:436 E WASHINGTON BLVD STE P
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-3210
Practice Address - Country:US
Practice Address - Phone:260-222-2952
Practice Address - Fax:260-234-2950
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025062A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist