Provider Demographics
NPI:1609391705
Name:COPI, ERIN JANE (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:JANE
Last Name:COPI
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 1:2495 E NATIONAL HWY
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-9594
Mailing Address - Country:US
Mailing Address - Phone:512-254-7425
Mailing Address - Fax:
Practice Address - Street 1:2495 E NATIONAL HWY
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-9594
Practice Address - Country:US
Practice Address - Phone:512-254-7425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302044779183500000X
OH032365681835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist