Ericksons Diversified LLC

NPI #1114075488 in New Richmond, Wisconsin

Provider Information

NPI Number
1114075488
Entity Type
Organization
Organization Name
Ericksons Diversified LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 5, 2007
Last Updated
Oct 31, 2025

Practice Location

Address
110 W 4TH ST
ZIP Code
54017-1722
Phone
(715) 246-2186

Authorized Official

Name
AMY ELLIS, RPH
Title
DIRECTOR OF PHARMACY
Phone
(616) 878-2848

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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