Provider Demographics
NPI:1841640042
Name:YOUNG, ERIN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:SYTSMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58445 ROMEO PLANK RD
Mailing Address - Street 2:
Mailing Address - City:RAY
Mailing Address - State:MI
Mailing Address - Zip Code:48096-4141
Mailing Address - Country:US
Mailing Address - Phone:540-550-9737
Mailing Address - Fax:
Practice Address - Street 1:30800 LITTLE MACK AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-1700
Practice Address - Country:US
Practice Address - Phone:586-415-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042073183500000X
VA0202209202183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist