Provider Demographics
NPI:1851587869
Name:PERRY, ERIC LEE (RPH)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:LEE
Last Name:PERRY
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 1:1707 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-2061
Mailing Address - Country:US
Mailing Address - Phone:724-652-3366
Mailing Address - Fax:724-652-0702
Practice Address - Street 1:1707 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-2061
Practice Address - Country:US
Practice Address - Phone:724-652-3366
Practice Address - Fax:724-652-0702
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039146L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist