Provider Demographics
NPI:1053002006
Name:HERMAN, ERIN (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:HERMAN
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 POMONA PL
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14210-1819
Mailing Address - Country:US
Mailing Address - Phone:716-536-3424
Mailing Address - Fax:
Practice Address - Street 1:1941 SENECA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14210-2310
Practice Address - Country:US
Practice Address - Phone:716-822-5220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30227189183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician