Provider Demographics
NPI:1245360437
Name:WHYTE, ERICA R (PHARMD)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:R
Last Name:WHYTE
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 1:486 ALEPPO RD
Mailing Address - Street 2:
Mailing Address - City:NEW FREEPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15352-1627
Mailing Address - Country:US
Mailing Address - Phone:724-447-2095
Mailing Address - Fax:
Practice Address - Street 1:1440 E HIGH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-9558
Practice Address - Country:US
Practice Address - Phone:724-627-9849
Practice Address - Fax:724-627-9513
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist