Provider Demographics
NPI:1184172934
Name:JENKINS, ERIK ALAN (R PH)
Entity type:Individual
Prefix:MR
First Name:ERIK
Middle Name:ALAN
Last Name:JENKINS
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2131 E. STATE ST.
Mailing Address - Street 2:HOLZER FAMILY PHARMACY
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701
Mailing Address - Country:US
Mailing Address - Phone:740-589-3181
Mailing Address - Fax:740-589-3182
Practice Address - Street 1:2131 E. STATE ST.
Practice Address - Street 2:HOLZER FAMILY PHARMACY
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701
Practice Address - Country:US
Practice Address - Phone:740-589-3181
Practice Address - Fax:740-589-3182
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03233340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist