Individual
ERICA DETATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431-1705
(937) 702-4000
Mailing address
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431-1705
(937) 702-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439082
OH
Other
Enumeration date
01/02/2020
Last updated
02/14/2025
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