Provider Demographics
NPI:1477703247
Name:BLIEK, ERIKA JOY (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:JOY
Last Name:BLIEK
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 1:334 S SHARON AMITY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-2806
Mailing Address - Country:US
Mailing Address - Phone:704-366-2344
Mailing Address - Fax:704-362-1859
Practice Address - Street 1:334 S SHARON AMITY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2806
Practice Address - Country:US
Practice Address - Phone:704-366-2344
Practice Address - Fax:704-362-1859
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist