Provider Demographics
NPI:1881826220
Name:CHRISTENSEN, ERIN MARIE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MARIE
Last Name:CHRISTENSEN
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 1:4625 SE DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-9351
Mailing Address - Country:US
Mailing Address - Phone:515-559-1995
Mailing Address - Fax:515-559-1996
Practice Address - Street 1:4625 SE DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-9351
Practice Address - Country:US
Practice Address - Phone:515-559-1995
Practice Address - Fax:515-559-1996
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-19
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist