Provider Demographics
NPI:1962988840
Name:MCFADDEN, ERIN ROSE (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ROSE
Last Name:MCFADDEN
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 1:1021 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-5009
Mailing Address - Country:US
Mailing Address - Phone:812-459-7036
Mailing Address - Fax:
Practice Address - Street 1:5000 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-4812
Practice Address - Country:US
Practice Address - Phone:812-473-0113
Practice Address - Fax:812-473-0114
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26022954A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist