Provider Demographics
NPI:1013950195
Name:STURM, ERIC CHRISTOPHER (RPH)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:CHRISTOPHER
Last Name:STURM
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 1:5803 PINEHURST CT
Mailing Address - Street 2:
Mailing Address - City:LAKEVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:14085-9719
Mailing Address - Country:US
Mailing Address - Phone:716-627-1494
Mailing Address - Fax:
Practice Address - Street 1:845 ROUTES 5 & 20
Practice Address - Street 2:TLC HEALTH NETWORK PHARMACY
Practice Address - City:IRVING
Practice Address - State:NY
Practice Address - Zip Code:14081
Practice Address - Country:US
Practice Address - Phone:716-951-7261
Practice Address - Fax:716-951-7262
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist