MEDICARE: DR. ERIN MICHELE MCKINNEY PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03-3-25075	OH

General Provider Information

NPI Number	:	1669753257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN MICHELE MCKINNEY PHARMD

Provider Business Mailing Address
First Line	:	141 S SETTLERS LN
Second Line	:
City	:	PAINESVILLE
State	:	OH
Zip	:	44077-3693
Country	:	US
Telephone Number	:	440-867-2447
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 RICHMOND ST
Second Line	:
City	:	PAINESVILLE
State	:	OH
Zip	:	44077-3253
Country	:	US
Telephone Number	:	440-350-1928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2011
Last Update Date	:	09/08/2011

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