Healthcare Provider Details

I. General information

NPI: 1326524497
Provider Name (Legal Business Name): ERIN MARIE DITCH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8640 COMMERCIAL BLVD
PEVELY MO
63070-1529
US

IV. Provider business mailing address

8640 COMMERCIAL BLVD
PEVELY MO
63070-1529
US

V. Phone/Fax

Practice location:
  • Phone: 636-479-6100
  • Fax:
Mailing address:
  • Phone: 636-479-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2011026568
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: