Provider Demographics
NPI:1619152816
Name:BURNS, ERIN HEATHER (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:HEATHER
Last Name:BURNS
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 1:110 E. BUTLER ST.
Mailing Address - Street 2:P.O. BOX 605
Mailing Address - City:FORT RECOVERY
Mailing Address - State:OH
Mailing Address - Zip Code:45846
Mailing Address - Country:US
Mailing Address - Phone:419-375-2323
Mailing Address - Fax:
Practice Address - Street 1:110 E. BUTLER ST.
Practice Address - Street 2:
Practice Address - City:FORT RECOVERY
Practice Address - State:OH
Practice Address - Zip Code:45846
Practice Address - Country:US
Practice Address - Phone:419-375-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-27866183500000X
IN26022502A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist