Provider Demographics
NPI:1487915047
Name:CHRISEY, ERIN E (RPH)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:CHRISEY
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 1:726 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COBLESKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12043-3803
Mailing Address - Country:US
Mailing Address - Phone:518-234-8150
Mailing Address - Fax:518-234-3539
Practice Address - Street 1:726 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COBLESKILL
Practice Address - State:NY
Practice Address - Zip Code:12043-3803
Practice Address - Country:US
Practice Address - Phone:518-234-8150
Practice Address - Fax:518-234-3539
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046047-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist