Provider Demographics
NPI:1619601200
Name:COON, MARIE ERIN (RPH)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:ERIN
Last Name:COON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9070 JUNCTION DR STE E
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS JUNCTION
Mailing Address - State:MD
Mailing Address - Zip Code:20701-1141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9070 JUNCTION DR STE E
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS JUNCTION
Practice Address - State:MD
Practice Address - Zip Code:20701-1141
Practice Address - Country:US
Practice Address - Phone:866-986-9079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27708183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist