Individual
DR. ERIN ELIZABETH PRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3701 E CALUMET ST, APPLETON, WI 54915-4149
(920) 996-0746
Mailing address
3701 E CALUMET ST, APPLETON, WI 54915-4149
(920) 996-0746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18831-40
WI
Other
Enumeration date
06/29/2017
Last updated
08/22/2022
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