=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043484983
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERICA F FLEMING WINFIELD PHARM.D
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2008
-----------------------------------------------------
Last Update Date | 04/22/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2646 BOWDEN DR
-----------------------------------------------------
City | CREEDMOOR
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27522-8813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-764-9865
-----------------------------------------------------
Fax | 240-780-3262
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2646 BOWDEN DR
-----------------------------------------------------
City | CREEDMOOR
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27522-8813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-764-9865
-----------------------------------------------------
Fax | 240-780-3262
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 18609
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------