Provider Demographics
NPI:1063767838
Name:MINSTERMAN, ERIN MICHELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHELLE
Last Name:MINSTERMAN
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 1:160 PAVILION PKWY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-2884
Mailing Address - Country:US
Mailing Address - Phone:859-814-0141
Mailing Address - Fax:859-814-0151
Practice Address - Street 1:160 PAVILION PKWY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2884
Practice Address - Country:US
Practice Address - Phone:859-814-0141
Practice Address - Fax:859-814-0151
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist