Provider Demographics
NPI:1689850505
Name:SVENDSEN, ERIK (RPH)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:SVENDSEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PYRAMID DR
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-6410
Mailing Address - Country:US
Mailing Address - Phone:518-563-3179
Mailing Address - Fax:
Practice Address - Street 1:7 PYRAMID DR
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-6410
Practice Address - Country:US
Practice Address - Phone:518-563-3179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist