Provider Demographics
NPI:1760512933
Name:HARVEY, EUGENE P (RPH)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:P
Last Name:HARVEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 BROAD RIVER RUN
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222-7269
Mailing Address - Country:US
Mailing Address - Phone:941-721-7037
Mailing Address - Fax:
Practice Address - Street 1:515 7TH ST W
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4729
Practice Address - Country:US
Practice Address - Phone:941-722-8624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18787183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist