Provider Demographics
NPI:1588283345
Name:STANSFIELD, ERIN MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:STANSFIELD
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 1:510 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-4227
Mailing Address - Country:US
Mailing Address - Phone:563-263-1852
Mailing Address - Fax:563-263-4005
Practice Address - Street 1:510 E 6TH ST
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-4227
Practice Address - Country:US
Practice Address - Phone:563-263-1852
Practice Address - Fax:563-263-4005
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23559183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist