Provider Demographics
NPI:1477831998
Name:MELLERSKI, ERIN E (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:E
Last Name:MELLERSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:STACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4919 ELLICOTT ROAD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127
Mailing Address - Country:US
Mailing Address - Phone:716-508-8481
Mailing Address - Fax:716-508-8482
Practice Address - Street 1:4919 ELLICOTT ROAD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127
Practice Address - Country:US
Practice Address - Phone:716-508-8481
Practice Address - Fax:716-508-8482
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13383183500000X
NY60006-01183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist