Provider Demographics
NPI:1801339718
Name:KOEPF, ERIN RENEE (PHARMD, BCACP)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:RENEE
Last Name:KOEPF
Suffix:
Gender:F
Credentials:PHARMD, BCACP
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:RENEE
Other - Last Name:SCHULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:116 SPRING DR
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4169
Mailing Address - Country:US
Mailing Address - Phone:813-810-2858
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # JJ10
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-25
Last Update Date:2016-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03129324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist