Provider Demographics
NPI:1184946972
Name:CRIMMINS, EUGENE P (RPH)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:P
Last Name:CRIMMINS
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 1:85 AMHERST RD
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-2230
Mailing Address - Country:US
Mailing Address - Phone:516-398-5463
Mailing Address - Fax:
Practice Address - Street 1:85 AMHERST RD
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-2230
Practice Address - Country:US
Practice Address - Phone:516-398-5463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist