Provider Demographics
NPI:1063595965
Name:CHAROEN, ERIN JOEL (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:JOEL
Last Name:CHAROEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3733 SAN DIMAS ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1407
Mailing Address - Country:US
Mailing Address - Phone:661-631-3080
Mailing Address - Fax:661-631-3011
Practice Address - Street 1:3733 SAN DIMAS ST
Practice Address - Street 2:SUITE 105
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1407
Practice Address - Country:US
Practice Address - Phone:661-631-3080
Practice Address - Fax:661-631-3011
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 540191835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology