Healthcare Provider Details

I. General information

NPI: 1114864873
Provider Name (Legal Business Name): DR. ERIN GARRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 W MAIN ST
NEWARK OH
43055-1822
US

IV. Provider business mailing address

89 GREEN ML
BLACKLICK OH
43004-8761
US

V. Phone/Fax

Practice location:
  • Phone: 740-564-4540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03443562
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: