Provider Demographics
NPI:1295282564
Name:BINUS, ERICA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:BINUS
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 1:7108 MARICOPA RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3577
Mailing Address - Country:US
Mailing Address - Phone:814-207-0784
Mailing Address - Fax:
Practice Address - Street 1:7108 MARICOPA RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3577
Practice Address - Country:US
Practice Address - Phone:814-207-0784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25907183500000X
PARP450262183500000X
WI18224-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist