Provider Demographics
NPI:1679184279
Name:COLE, ERICA MEADER (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:MEADER
Last Name:COLE
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 1:37 CARDINAL ST
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-3802
Mailing Address - Country:US
Mailing Address - Phone:207-329-8544
Mailing Address - Fax:
Practice Address - Street 1:335 OCEAN HOUSE RD
Practice Address - Street 2:
Practice Address - City:CAPE ELIZABETH
Practice Address - State:ME
Practice Address - Zip Code:04107-2441
Practice Address - Country:US
Practice Address - Phone:207-799-1631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR69924183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist