Provider Demographics
NPI:1316260227
Name:KINGSBURY, ERIN EMILY (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:EMILY
Last Name:KINGSBURY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 E BROOK RD
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:NY
Mailing Address - Zip Code:13856-2273
Mailing Address - Country:US
Mailing Address - Phone:607-865-8122
Mailing Address - Fax:
Practice Address - Street 1:460 ANDES RD
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:NY
Practice Address - Zip Code:13753-7407
Practice Address - Country:US
Practice Address - Phone:607-746-0365
Practice Address - Fax:607-746-0360
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist