Provider Demographics
NPI:1588329841
Name:PARLETTE, ERIN SUE
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:SUE
Last Name:PARLETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3129 STERLINGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-2190
Mailing Address - Country:US
Mailing Address - Phone:419-874-3043
Mailing Address - Fax:
Practice Address - Street 1:2020 W STATE ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-1554
Practice Address - Country:US
Practice Address - Phone:419-332-2186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03122332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03122332OtherPHARMACIST LICENSE