Provider Demographics
NPI:1043720634
Name:HATCHER, ERICA LYNN (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:LYNN
Last Name:HATCHER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4617 HOPE VALLEY RD APT H
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6606
Mailing Address - Country:US
Mailing Address - Phone:917-562-6385
Mailing Address - Fax:
Practice Address - Street 1:2816 ERWIN RD STE 105
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4589
Practice Address - Country:US
Practice Address - Phone:919-282-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist