Provider Demographics
NPI:1376880187
Name:PLOCH, EUGENE LOUIS JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:LOUIS
Last Name:PLOCH
Suffix:JR
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 1:5991 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3956
Mailing Address - Country:US
Mailing Address - Phone:239-352-1484
Mailing Address - Fax:239-352-6386
Practice Address - Street 1:5991 PINE RIDGE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3956
Practice Address - Country:US
Practice Address - Phone:239-352-1484
Practice Address - Fax:239-352-6386
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48742183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist