Provider Demographics
NPI:1356698237
Name:FEHRENBACHER, ERIN MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:FEHRENBACHER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MARIE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7208 AVONWOOD LN SE
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-8100
Mailing Address - Country:US
Mailing Address - Phone:812-786-3252
Mailing Address - Fax:
Practice Address - Street 1:1205 MEMORIAL PKWY NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5930
Practice Address - Country:US
Practice Address - Phone:256-519-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.297963183500000X
AL21749183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist