Provider Demographics
NPI:1437162450
Name:EVERMAN, ERIC E (PHARMD, RPH)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:E
Last Name:EVERMAN
Suffix:
Gender:M
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 1:4583 HOLLANSBURG-SAMPSON RD
Mailing Address - Street 2:
Mailing Address - City:ARCANUM
Mailing Address - State:OH
Mailing Address - Zip Code:45304
Mailing Address - Country:US
Mailing Address - Phone:937-423-3645
Mailing Address - Fax:
Practice Address - Street 1:100 FORT JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1012
Practice Address - Country:US
Practice Address - Phone:937-547-1642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-25113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist