Provider Demographics
NPI:1255771853
Name:PHOEBE, ERIN (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:PHOEBE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 W AJO WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-6047
Mailing Address - Country:US
Mailing Address - Phone:520-294-4683
Mailing Address - Fax:520-294-4739
Practice Address - Street 1:605 W AJO WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-6047
Practice Address - Country:US
Practice Address - Phone:520-294-4683
Practice Address - Fax:520-294-4739
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019811183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist