Provider Demographics
NPI:1124638929
Name:WASYLSON, ERIN LINDSAY (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LINDSAY
Last Name:WASYLSON
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 1:304 HILL FARM LN
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:PA
Mailing Address - Zip Code:16059-1431
Mailing Address - Country:US
Mailing Address - Phone:724-496-0802
Mailing Address - Fax:
Practice Address - Street 1:9805 MCKNIGHT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6008
Practice Address - Country:US
Practice Address - Phone:412-366-3214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454780183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist