Healthcare Provider Details
I. General information
NPI: 1760068431
Provider Name (Legal Business Name): ERICA LYN WRING PHARMD, BCGP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/22/2021
Last Update Date: 03/22/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9900 WESTPOINT DR STE 100
INDIANAPOLIS IN
46256-3338
US
IV. Provider business mailing address
15562 W 275 N
DUGGER IN
47848-7007
US
V. Phone/Fax
- Phone: 317-841-0388
- Fax:
- Phone: 317-519-3364
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835G0303X |
| Taxonomy | Geriatric Pharmacist |
| License Number | 9102673 |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: