Provider Demographics
NPI:1689818858
Name:LOPOMO, ERIN M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:M
Last Name:LOPOMO
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 1:745 MERROW RD APT 157
Mailing Address - Street 2:UNIT 157
Mailing Address - City:COVENTRY
Mailing Address - State:CT
Mailing Address - Zip Code:06238-1371
Mailing Address - Country:US
Mailing Address - Phone:732-319-7116
Mailing Address - Fax:
Practice Address - Street 1:203 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:PUTNAM
Practice Address - State:CT
Practice Address - Zip Code:06260-1628
Practice Address - Country:US
Practice Address - Phone:860-963-7230
Practice Address - Fax:860-928-6298
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0010565183500000X
RIRPH04615183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist