Provider Demographics
NPI:1952894115
Name:ARWINE, ERIKA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:
Last Name:ARWINE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24236 170TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-8387
Mailing Address - Country:US
Mailing Address - Phone:913-669-7062
Mailing Address - Fax:913-250-0936
Practice Address - Street 1:5000 10TH AVE
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5514
Practice Address - Country:US
Practice Address - Phone:913-250-0918
Practice Address - Fax:913-250-0936
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-12273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist