Healthcare Provider Details

I. General information

NPI: 1568778082
Provider Name (Legal Business Name): ERIN MICHELLE RYCROFT PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MICHELLE KNIGHT PHARM.D.

II. Dates (important events)

Enumeration Date: 08/21/2010
Last Update Date: 08/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 N CENTER ST
PERRY NY
14530-9701
US

IV. Provider business mailing address

128 N CENTER ST
PERRY NY
14530-9701
US

V. Phone/Fax

Practice location:
  • Phone: 585-237-3113
  • Fax: 585-237-5646
Mailing address:
  • Phone: 585-237-3113
  • Fax: 585-237-5646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number054697
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: