Provider Demographics
NPI:1497844583
Name:VINCENCH, ERICA LYNN (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:LYNN
Last Name:VINCENCH
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:MRS
Other - First Name:ERICA
Other - Middle Name:LYNN
Other - Last Name:HONAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMACY TECHNICIAN
Mailing Address - Street 1:3052B SHASTA DR
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-8016
Mailing Address - Country:US
Mailing Address - Phone:510-437-3602
Mailing Address - Fax:510-437-3364
Practice Address - Street 1:3052-B SHASTA DRIVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5100
Practice Address - Country:US
Practice Address - Phone:510-437-3602
Practice Address - Fax:510-437-3364
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other