Provider Demographics
NPI:1679857684
Name:MCHENRY, ERIN (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:ERIN
Middle Name:
Last Name:MCHENRY
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 1:57 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AMELIA
Mailing Address - State:OH
Mailing Address - Zip Code:45102-1737
Mailing Address - Country:US
Mailing Address - Phone:513-752-7131
Mailing Address - Fax:513-752-7256
Practice Address - Street 1:57 W MAIN ST
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102-1737
Practice Address - Country:US
Practice Address - Phone:513-752-7131
Practice Address - Fax:513-752-7256
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03326898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist