Healthcare Provider Details

I. General information

NPI: 1073139861
Provider Name (Legal Business Name): ERIN HOPE SHERWIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2523 DELANEY AVE
WILMINGTON NC
28403-6003
US

IV. Provider business mailing address

1625 S 17TH ST APT 404
WILMINGTON NC
28401-6574
US

V. Phone/Fax

Practice location:
  • Phone: 910-763-5522
  • Fax:
Mailing address:
  • Phone: 901-896-4012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number44197
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number022071
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number31224
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number31224
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: