Provider Demographics
NPI:1336459106
Name:GORHUM, ERIKA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:LYNN
Last Name:GORHUM
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 1:9610 FM 1097 RD W
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77318-4998
Mailing Address - Country:US
Mailing Address - Phone:936-856-4096
Mailing Address - Fax:
Practice Address - Street 1:9610 FM 1097 RD W
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318-4998
Practice Address - Country:US
Practice Address - Phone:936-856-4096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2016-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48910183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist