Provider Demographics
NPI:1053905448
Name:PRATT, ERICA MICHELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:MICHELLE
Last Name:PRATT
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 1:2044 NW STEELRAKE PLACE
Mailing Address - Street 2:N 220
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-7549
Mailing Address - Country:US
Mailing Address - Phone:573-561-3416
Mailing Address - Fax:
Practice Address - Street 1:2044 NW STEELRAKE PLACE
Practice Address - Street 2:N 220
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-7549
Practice Address - Country:US
Practice Address - Phone:573-561-3416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61135537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist