Provider Demographics
NPI:1427686518
Name:ORNE, ERIN BEAL (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:BEAL
Last Name:ORNE
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 1:1300 W BURLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:52556-2766
Mailing Address - Country:US
Mailing Address - Phone:641-472-3542
Mailing Address - Fax:641-469-6201
Practice Address - Street 1:1300 W BURLINGTON AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:IA
Practice Address - Zip Code:52556-2766
Practice Address - Country:US
Practice Address - Phone:641-472-3542
Practice Address - Fax:641-469-6201
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22759183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist