Provider Demographics
NPI:1649317884
Name:PIRKL, ERICKA JEANETTE (PHARMD)
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:JEANETTE
Last Name:PIRKL
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 1:805 12TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:KASSON
Mailing Address - State:MN
Mailing Address - Zip Code:55944-9456
Mailing Address - Country:US
Mailing Address - Phone:651-261-9253
Mailing Address - Fax:
Practice Address - Street 1:495 W NORTH ST
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-1107
Practice Address - Country:US
Practice Address - Phone:507-451-7886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist