Healthcare Provider Details

I. General information

NPI: 1093889164
Provider Name (Legal Business Name): ERIN ALBERT PHARMD, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 SUNSET AVE
INDIANAPOLIS IN
46208-3443
US

IV. Provider business mailing address

12058 BIRD KEY BLVD
FISHERS IN
46037-4181
US

V. Phone/Fax

Practice location:
  • Phone: 317-940-6134
  • Fax:
Mailing address:
  • Phone: 317-722-1671
  • Fax: 317-863-0962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26018200
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: