Provider Demographics
NPI:1386077691
Name:KNOWLES, ERICA MORGAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:MORGAN
Last Name:KNOWLES
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 1:124 GOLF MDWS
Mailing Address - Street 2:
Mailing Address - City:CHAPMANVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25508-9766
Mailing Address - Country:US
Mailing Address - Phone:304-319-2659
Mailing Address - Fax:
Practice Address - Street 1:260 HUFFCREEK HWY
Practice Address - Street 2:
Practice Address - City:MAN
Practice Address - State:WV
Practice Address - Zip Code:25635-1039
Practice Address - Country:US
Practice Address - Phone:304-583-2404
Practice Address - Fax:304-583-8209
Is Sole Proprietor?:No
Enumeration Date:2013-08-11
Last Update Date:2013-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0008136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist