Provider Demographics
NPI:1366031049
Name:GUINEN, ERIN ANN
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ANN
Last Name:GUINEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N MAIN ST # D
Mailing Address - Street 2:
Mailing Address - City:CARVER
Mailing Address - State:MA
Mailing Address - Zip Code:02330-1089
Mailing Address - Country:US
Mailing Address - Phone:508-866-7001
Mailing Address - Fax:508-866-2948
Practice Address - Street 1:100 N MAIN ST # D
Practice Address - Street 2:
Practice Address - City:CARVER
Practice Address - State:MA
Practice Address - Zip Code:02330-1089
Practice Address - Country:US
Practice Address - Phone:508-866-7001
Practice Address - Fax:508-866-2948
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA240731835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty