Provider Demographics
NPI:1649553900
Name:SMITH, ERIN E (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:SMITH
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 1:135 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949
Mailing Address - Country:US
Mailing Address - Phone:978-762-8522
Mailing Address - Fax:978-762-6475
Practice Address - Street 1:135 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949
Practice Address - Country:US
Practice Address - Phone:978-762-8522
Practice Address - Fax:978-762-6475
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH27478183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist