Provider Demographics
NPI:1962663880
Name:MEISEL, ERIN LOUISE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LOUISE
Last Name:MEISEL
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:PO BOX 101
Mailing Address - Street 2:
Mailing Address - City:FRIENDSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21531-0101
Mailing Address - Country:US
Mailing Address - Phone:410-790-4689
Mailing Address - Fax:
Practice Address - Street 1:1050 W INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-4331
Practice Address - Country:US
Practice Address - Phone:301-724-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist