Provider Demographics
NPI:1598931685
Name:SCHLERF, ERIC BRANDON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:BRANDON
Last Name:SCHLERF
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 1:173 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:KUNA
Mailing Address - State:ID
Mailing Address - Zip Code:83634-2087
Mailing Address - Country:US
Mailing Address - Phone:208-922-4400
Mailing Address - Fax:208-922-4499
Practice Address - Street 1:173 W 4TH ST
Practice Address - Street 2:
Practice Address - City:KUNA
Practice Address - State:ID
Practice Address - Zip Code:83634-2087
Practice Address - Country:US
Practice Address - Phone:208-922-4400
Practice Address - Fax:208-922-4499
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP6083183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDP6083OtherIDAHO STATE BOARD OF PHARMACY