Provider Demographics
NPI:1992136063
Name:STALKER, NANCY ERICKSON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ERICKSON
Last Name:STALKER
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 1:776 WOODWIND PL
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-4670
Mailing Address - Country:US
Mailing Address - Phone:925-944-1057
Mailing Address - Fax:925-944-4973
Practice Address - Street 1:50 BEALE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1813
Practice Address - Country:US
Practice Address - Phone:415-229-5770
Practice Address - Fax:415-229-6011
Is Sole Proprietor?:No
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30238183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist