Provider Demographics
NPI:1598301152
Name:LU, ERIKA K (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:K
Last Name:LU
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 1:100 E MCFARLAN ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-3552
Mailing Address - Country:US
Mailing Address - Phone:973-328-1355
Mailing Address - Fax:
Practice Address - Street 1:100 E MCFARLAN ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-3552
Practice Address - Country:US
Practice Address - Phone:973-328-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04072700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI04072700OtherNJ PHARMACIST LICENSE