Trevor Ryan Erickson, RPH
Individual provider Active NPI Pharmacist · Eureka, MT
NPI 1497826671 · NPPES record last updated Jan 19, 2015
Key facts
- NPI
- 1497826671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5244 (MT)
- Practice address
- 546 US Highway 93 N
Eureka, MT 59917-9053 - Phone
- (406) 270-0061
- NPI assigned
- Nov 10, 2006
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5244 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eureka Drug Inc | Current |
Accepting new patients |
Locations
546 US Highway 93 N
Eureka, MT 59917
Phone (406) 270-0061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5244 | MT | Yes |
Addresses
Primary practice location
546 US Highway 93 N
Eureka, MT 59917-9053
Mailing address
546 US Highway 93 N
Eureka, MT 59917-9053
Phone (406) 270-0061
Other providers in Eureka, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2015. 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.