Provider Demographics
NPI:1073937553
Name:RYLEE, ERIKA (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:RYLEE
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:PO BOX 3191
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-3191
Mailing Address - Country:US
Mailing Address - Phone:770-540-1590
Mailing Address - Fax:770-532-7100
Practice Address - Street 1:2551 LIMESTONE PKWY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2094
Practice Address - Country:US
Practice Address - Phone:770-535-8861
Practice Address - Fax:770-532-7100
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH027223183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist