Provider Demographics
NPI:1033856745
Name:ERMER, CHRYSTAL MARIE
Entity type:Individual
Prefix:MRS
First Name:CHRYSTAL
Middle Name:MARIE
Last Name:ERMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SILVESTRI CIR UNIT 20
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-1340
Mailing Address - Country:US
Mailing Address - Phone:978-735-3905
Mailing Address - Fax:
Practice Address - Street 1:123 NASHUA RD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3453
Practice Address - Country:US
Practice Address - Phone:603-437-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-14
Last Update Date:2022-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician