| Charles Paul Erickson, RPH | |
|
1504 190th Ave, Suite 100, Balsam Lake, WI 54810-7102 | |
| (715) 825-4498 | |
| (715) 825-4499 |
| Full Name | Charles Paul Erickson |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1504 190th Ave, Balsam Lake, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447518493 | NPI | - | NPPES |
| 112562 | Other | MN | PHARMACIST LICENSE |
| 155110-40 | Other | WI | PHARMACIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 112562 (Minnesota) | Secondary |
| 183500000X | Pharmacist | 155110-40 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Paul Erickson, RPH 204 S Adams St, Saint Croix Falls, WI 54024-9449 Ph: (715) 483-0260 | Charles Paul Erickson, RPH 1504 190th Ave, Suite 100, Balsam Lake, WI 54810-7102 Ph: (715) 825-4498 |
Dr. Elizabeth Frances Ebensperger, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1504 190th Ave, Balsam Lake, WI 54810 Phone: 715-825-4498 Fax: 715-825-4499 | |
Mrs. Anita Lundquist, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1504 190th Ave, Balsam Lake, WI 54810 Phone: 715-825-4498 Fax: 715-825-4499 |