Provider Demographics
NPI:1598272627
Name:PERPICH, ERIKA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:PERPICH
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 1:33300 FIVE MILE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-3077
Mailing Address - Country:US
Mailing Address - Phone:313-357-1215
Mailing Address - Fax:313-357-1173
Practice Address - Street 1:33300 FIVE MILE RD STE 210
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-3077
Practice Address - Country:US
Practice Address - Phone:313-357-1215
Practice Address - Fax:313-357-1173
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020401751835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care