Provider Demographics
NPI:1831665793
Name:HOVERSLAND, ERICA PEARL (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:PEARL
Last Name:HOVERSLAND
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 1:760 WICKS LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-4427
Mailing Address - Country:US
Mailing Address - Phone:406-238-2475
Mailing Address - Fax:
Practice Address - Street 1:760 WICKS LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-4427
Practice Address - Country:US
Practice Address - Phone:406-238-2475
Practice Address - Fax:406-238-5546
Is Sole Proprietor?:No
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-478601835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care