Beverly J Erickson
Pharmacy Technician in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1558087148
StatusActive
Last updated in NPPESOct 14, 2022
Details
- NPI
- 1558087148
- Entity type
- Individual (NPI-1)
- Name
- Beverly J Erickson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2022
- Certification date
- Oct 14, 2022
- Last updated
- Oct 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 30007902 | ID | Yes |
Practice location
335 W Appleway AveCoeur D Alene, ID 83814-9306
Phone 208-765-1254 · Fax 208-765-1303
Mailing address
6113 N Ormond RdOtis Orchards, WA 99027-9733
Phone 509-435-8704
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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