Provider Demographics
NPI:1730350331
Name:GAMEZ, ERIC A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:A
Last Name:GAMEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11977 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7619
Mailing Address - Country:US
Mailing Address - Phone:561-792-2106
Mailing Address - Fax:561-383-6188
Practice Address - Street 1:11977 SOUTHERN BLVD
Practice Address - Street 2:PHARMACY
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3341
Practice Address - Country:US
Practice Address - Phone:561-792-2106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-22
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000522183500000X
TX45234183500000X
VA0202208099183500000X
FL48392183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist