Provider Demographics
NPI:1295558724
Name:DOWNTON, ERICA ALISE (PHARMD)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:ALISE
Last Name:DOWNTON
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 1:700 SOLOMANS LN
Mailing Address - Street 2:
Mailing Address - City:OWENTON
Mailing Address - State:KY
Mailing Address - Zip Code:40359-8130
Mailing Address - Country:US
Mailing Address - Phone:606-335-5738
Mailing Address - Fax:
Practice Address - Street 1:120 PROGRESS WAY
Practice Address - Street 2:
Practice Address - City:OWENTON
Practice Address - State:KY
Practice Address - Zip Code:40359-6032
Practice Address - Country:US
Practice Address - Phone:502-484-5888
Practice Address - Fax:502-482-2581
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY024736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist