Provider Demographics
NPI:1962053975
Name:SHEPPERD-DEBNAM, ERICA B (PHARMD,RPH)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:B
Last Name:SHEPPERD-DEBNAM
Suffix:
Gender:F
Credentials:PHARMD,RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 IVY CLUB LN APT 2234
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4516
Mailing Address - Country:US
Mailing Address - Phone:804-922-2000
Mailing Address - Fax:
Practice Address - Street 1:3700 NEWARK ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3036
Practice Address - Country:US
Practice Address - Phone:202-966-0320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist