Provider Demographics
NPI:1629354048
Name:ERWIN, TAFFY ANN (RPH)
Entity Type:Individual
Prefix:
First Name:TAFFY
Middle Name:ANN
Last Name:ERWIN
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 1:9691 WATERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-8220
Mailing Address - Country:US
Mailing Address - Phone:513-774-9239
Mailing Address - Fax:513-774-9264
Practice Address - Street 1:9691 WATERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-8220
Practice Address - Country:US
Practice Address - Phone:513-774-9239
Practice Address - Fax:513-774-9264
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03120551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist