Provider Demographics
NPI:1992089437
Name:FOTI, ERIN MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MARIE
Last Name:FOTI
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 1:7510 BAR HARBOUR LN
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-5107
Mailing Address - Country:US
Mailing Address - Phone:330-204-7904
Mailing Address - Fax:
Practice Address - Street 1:34099 MELINZ PKWY
Practice Address - Street 2:SUITE G
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-4041
Practice Address - Country:US
Practice Address - Phone:440-953-0604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03227893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03227893OtherPHARMACIST LICENSE