Provider Demographics
NPI:1932312790
Name:CARNEY, ERIKA SUZANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:SUZANNE
Last Name:CARNEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ERIKA
Other - Middle Name:SUZANNE
Other - Last Name:SMUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:204 PLEASANT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-9111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CVS PHARMACY
Practice Address - Street 2:5181 US RT 60 E
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705
Practice Address - Country:US
Practice Address - Phone:304-736-3496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03326786183500000X
WVRP0006825183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist