Healthcare Provider Details

I. General information

NPI: 1093038382
Provider Name (Legal Business Name): BRIAN EDWARD ESPER PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 ELM ST
ERIE PA
16504-2935
US

IV. Provider business mailing address

2711 ELM ST
ERIE PA
16504-2935
US

V. Phone/Fax

Practice location:
  • Phone: 814-459-3653
  • Fax: 814-459-3657
Mailing address:
  • Phone: 814-459-3653
  • Fax: 814-459-3657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP440823
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: