Provider Demographics
NPI:1174791966
Name:GRAVES, ERIN E (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:GRAVES
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 1:12650 GROVE W
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77378-4200
Mailing Address - Country:US
Mailing Address - Phone:832-592-3500
Mailing Address - Fax:877-283-0905
Practice Address - Street 1:12650 GROVE W
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77378-4200
Practice Address - Country:US
Practice Address - Phone:832-592-3500
Practice Address - Fax:877-283-0905
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist