Healthcare Provider Details

I. General information

NPI: 1760785190
Provider Name (Legal Business Name): ERICA B SHELTON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2010
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MATTHEW ST STE 100
MARIETTA OH
45750-1635
US

IV. Provider business mailing address

401 MATTHEW ST STE 100
MARIETTA OH
45750-1635
US

V. Phone/Fax

Practice location:
  • Phone: 740-434-0140
  • Fax: 740-434-0142
Mailing address:
  • Phone: 740-434-0140
  • Fax: 740-434-0142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03236485
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0006777
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: