Healthcare Provider Details

I. General information

NPI: 1740145093
Provider Name (Legal Business Name): ERIKA LYNN WOMACK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14054 W DESERT FLOWER DR
GOODYEAR AZ
85395-5801
US

IV. Provider business mailing address

14054 W DESERT FLOWER DR
GOODYEAR AZ
85395-5801
US

V. Phone/Fax

Practice location:
  • Phone: 224-688-8155
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS024563
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21588
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: