MEDICARE: MR. JOSEPH DAVID ERICKSON RPH

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	RPH-0011809	OR

General Provider Information

NPI Number	:	1881910743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH DAVID ERICKSON RPH

Provider Business Mailing Address
First Line	:	500 5TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2332
Country	:	US
Telephone Number	:	206-477-6305
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 5TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2332
Country	:	US
Telephone Number	:	206-477-6305
Fax Number	:

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

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	06/01/2026

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