Provider Demographics
NPI:1780129197
Name:NAVARRO, ERIN GAIL (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:GAIL
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S COLUMBIA RD
Mailing Address - Street 2:ATTN: ALTRU RETAIL PHARMACY
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-4036
Mailing Address - Country:US
Mailing Address - Phone:701-780-3443
Mailing Address - Fax:701-780-3441
Practice Address - Street 1:1200 S COLUMBIA RD
Practice Address - Street 2:ATTN: ALTRU RETAIL PHARMACY
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-4036
Practice Address - Country:US
Practice Address - Phone:701-780-3443
Practice Address - Fax:701-780-3441
Is Sole Proprietor?:No
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRPH5191183500000X
MN119561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist