Provider Demographics
NPI:1598779365
Name:TAWNEY, ERIC (RPH)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:TAWNEY
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 1:1065 NE 125TH ST STE 207
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5832
Mailing Address - Country:US
Mailing Address - Phone:786-347-0365
Mailing Address - Fax:786-347-0321
Practice Address - Street 1:1065 NE 125TH ST STE 207
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5832
Practice Address - Country:US
Practice Address - Phone:863-470-3657
Practice Address - Fax:786-347-0321
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-18193183500000X
MI5302026406183500000X
FLPS617141835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist