Healthcare Provider Details

I. General information

NPI: 1952806457
Provider Name (Legal Business Name): ERIN RESWEBER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN THARBY

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 01/09/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 MDG UNIT 3215 RAMSTEIN AB
APO AE
09094
US

IV. Provider business mailing address

CMR 479 BOX 313
APO AE
09263-0004
US

V. Phone/Fax

Practice location:
  • Phone: 314-479-2609
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number66691
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: