Healthcare Provider Details

I. General information

NPI: 1275058802
Provider Name (Legal Business Name): ERIKA LINDSEY VUERNICK PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 08/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 N EAGLEVILLE RD UNIT 3092
STORRS CT
06269
US

IV. Provider business mailing address

940 QUAKER LN APT 2120
EAST GREENWICH RI
02818-5036
US

V. Phone/Fax

Practice location:
  • Phone: 860-486-0244
  • Fax:
Mailing address:
  • Phone: 860-707-0318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH05751
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0014185
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: