Provider Demographics
NPI:1669641924
Name:TOMPKINS, EUGENE RAYMOND (RPH)
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:RAYMOND
Last Name:TOMPKINS
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 1:1730 US HIGHWAY 46
Mailing Address - Street 2:
Mailing Address - City:WEST PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1716
Mailing Address - Country:US
Mailing Address - Phone:973-812-3434
Mailing Address - Fax:973-812-9433
Practice Address - Street 1:1730 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:WEST PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07424-1716
Practice Address - Country:US
Practice Address - Phone:973-812-3434
Practice Address - Fax:973-812-9433
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01524400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RIO524400OtherPHARMACY LICENSE