Provider Demographics
NPI:1427665728
Name:KACHUR, ERIN GREY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:GREY
Last Name:KACHUR
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 1:1220 WILLIS AVE BLDG 2
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-2810
Mailing Address - Country:US
Mailing Address - Phone:386-236-3188
Mailing Address - Fax:386-254-1230
Practice Address - Street 1:1220 WILLIS AVE BLDG 2
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-2810
Practice Address - Country:US
Practice Address - Phone:386-236-3188
Practice Address - Fax:386-254-1230
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS61063183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist