MEDICARE: DR. ANDREW WILLIAM EHRLICH PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	43839	SC
2	183500000X	Pharmacist	31931	NC

General Provider Information

NPI Number	:	1023703790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW WILLIAM EHRLICH PHARMD

Provider Business Mailing Address
First Line	:	12805 HOPEWELL AVE APT 114
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-6379
Country	:	US
Telephone Number	:	803-406-0777
Fax Number	:

Provider Business Practice Location Address
First Line	:	7715 REGENCY PARK DR
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8938
Country	:	US
Telephone Number	:	704-892-1197
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2023
Last Update Date	:	04/10/2023

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Directions to “ DR. ANDREW WILLIAM EHRLICH PHARMD” Practice Location

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