Provider Demographics
NPI:1952728230
Name:NEMEC, ERIN MICHELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHELLE
Last Name:NEMEC
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 1:1418 CONCERTO LN
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82007-3692
Mailing Address - Country:US
Mailing Address - Phone:832-262-6074
Mailing Address - Fax:
Practice Address - Street 1:1948 DELL RANGE BLVD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-4917
Practice Address - Country:US
Practice Address - Phone:307-274-9844
Practice Address - Fax:307-274-9838
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0021832183500000X
WY3644183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist