Provider Demographics
NPI:1174568950
Name:PAFFEL, ERICA KRISTEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:KRISTEN
Last Name:PAFFEL
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 1:112 MUSTANG CT
Mailing Address - Street 2:
Mailing Address - City:LINO LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:55014-9401
Mailing Address - Country:US
Mailing Address - Phone:651-784-6837
Mailing Address - Fax:651-784-6838
Practice Address - Street 1:7438 MAIN ST W
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:WI
Practice Address - Zip Code:54893-8206
Practice Address - Country:US
Practice Address - Phone:715-866-8644
Practice Address - Fax:715-866-7344
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN116834-9183500000X
WI13186-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist