Provider Demographics
NPI:1306055975
Name:DEEDS, ERIN MARIE (RPH)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:DEEDS
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 1:1620 CRATER AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-6933
Mailing Address - Country:US
Mailing Address - Phone:330-343-7197
Mailing Address - Fax:
Practice Address - Street 1:700 BOULEVARD ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-2089
Practice Address - Country:US
Practice Address - Phone:330-602-9473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-17747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist