Provider Demographics
NPI:1902249626
Name:BUNTING, ERIN ANNE (RPH)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ANNE
Last Name:BUNTING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 35TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-3910
Mailing Address - Country:US
Mailing Address - Phone:970-339-1717
Mailing Address - Fax:970-339-1720
Practice Address - Street 1:2100 35TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-3910
Practice Address - Country:US
Practice Address - Phone:970-339-1717
Practice Address - Fax:970-339-1720
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10154183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist