Provider Demographics
NPI:1669794947
Name:DELUCA, ERIN KATHLEEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:KATHLEEN
Last Name:DELUCA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 VETERANS MEMORIAL DR
Mailing Address - Street 2:TARGET PHARMACY T-2382
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1258
Mailing Address - Country:US
Mailing Address - Phone:585-300-2046
Mailing Address - Fax:585-300-2046
Practice Address - Street 1:4300 VETERANS MEMORIAL DR
Practice Address - Street 2:TARGET PHARMACY T-2382
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1258
Practice Address - Country:US
Practice Address - Phone:585-300-2046
Practice Address - Fax:585-300-2046
Is Sole Proprietor?:No
Enumeration Date:2010-02-27
Last Update Date:2010-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist