Provider Demographics
NPI:1972826055
Name:THARP, ERIN M (RPH)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:THARP
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61690 SOUTHGATE RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9114
Mailing Address - Country:US
Mailing Address - Phone:740-432-7154
Mailing Address - Fax:740-439-5108
Practice Address - Street 1:61690 SOUTHGATE RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9114
Practice Address - Country:US
Practice Address - Phone:740-432-7154
Practice Address - Fax:740-439-5108
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03319817183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist