Provider Demographics
NPI:1245848662
Name:LATTA, ERIN CAITLIN (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:CAITLIN
Last Name:LATTA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:942 MEMORIES LN
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2699
Mailing Address - Country:US
Mailing Address - Phone:614-314-3127
Mailing Address - Fax:
Practice Address - Street 1:55 W SCHROCK RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3087
Practice Address - Country:US
Practice Address - Phone:614-890-8869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03233474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist