Craig C Erickson
Individual provider Active NPI Pharmacist · Red Lodge, MT
NPI 1104422849 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1104422849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3470 (MT)
- Practice address
- 211 N Broadway Ave
Red Lodge, MT 59068-9132 - Phone
- (406) 446-1017
- Fax
- (406) 446-2516
- NPI assigned
- Dec 8, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3470 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Lodge Drug Co Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3470 | MT | Yes |
Addresses
Primary practice location
211 N Broadway Ave
Red Lodge, MT 59068-9132
Mailing address
PO Box 1030
Red Lodge, MT 59068-1030
Phone (406) 446-1017
Other providers in Red Lodge, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.