Provider Demographics
NPI:1255407649
Name:ERWIN, JEFFREY BRIAN (RPH)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:BRIAN
Last Name:ERWIN
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 1:200 E FAIRWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2127
Mailing Address - Country:US
Mailing Address - Phone:215-997-6417
Mailing Address - Fax:215-997-6650
Practice Address - Street 1:472 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3404
Practice Address - Country:US
Practice Address - Phone:215-345-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP030588L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist