Provider Demographics
NPI:1578890331
Name:KLINKER, ERIK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:
Last Name:KLINKER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9245 W UNION HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-8154
Mailing Address - Country:US
Mailing Address - Phone:623-972-8425
Mailing Address - Fax:623-972-3249
Practice Address - Street 1:9245 W UNION HILLS DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-8154
Practice Address - Country:US
Practice Address - Phone:623-972-8425
Practice Address - Fax:623-972-3249
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-14
Last Update Date:2009-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS014949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist