Provider Demographics
NPI:1013182351
Name:GUERRERO, HECTOR A (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:A
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3751 84TH ST APT 22
Mailing Address - Street 2:JACKSON HEIGHT
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7207
Mailing Address - Country:US
Mailing Address - Phone:718-672-6223
Mailing Address - Fax:
Practice Address - Street 1:1938 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6303
Practice Address - Country:US
Practice Address - Phone:212-426-6484
Practice Address - Fax:212-426-9913
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist