Beverly J Erickson
Individual provider Active NPI Pharmacy Technician · Coeur D Alene, ID
NPI 1558087148 · NPPES record last updated Oct 14, 2022
Key facts
- NPI
- 1558087148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 30007902 (ID)
- Practice address
- 335 W Appleway Ave
Coeur D Alene, ID 83814-9306 - Phone
- (208) 765-1254
- Fax
- (208) 765-1303
- NPI assigned
- Oct 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 30007902 | ID | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30007902 | ID | Yes |
Addresses
Primary practice location
335 W Appleway Ave
Coeur D Alene, ID 83814-9306
Mailing address
6113 N Ormond Rd
Otis Orchards, WA 99027-9733
Phone (509) 435-8704
Other providers in Coeur D Alene, ID
- Donald Franklin Engles
- Daniel J English
- Suzanne Kalen Epperson
- Payton Erdmann
- Erhildebrand LLC
- Todd Matthew Erickson
- Joshua James Ericson
- Erik R. Curtis, DDS, Ms, PC
- Juliette Erlendson
- Eloy Espinoza
All providers in Coeur D Alene, ID · Pharmacy Technician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2022. 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.