Provider Demographics
NPI:1831202464
Name:EIMER, HOWARD M (RPH, CPH)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:M
Last Name:EIMER
Suffix:
Gender:M
Credentials:RPH, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 LAKERIDGE BLVD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2181
Mailing Address - Country:US
Mailing Address - Phone:561-487-9260
Mailing Address - Fax:
Practice Address - Street 1:9101 LAKERIDGE BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2181
Practice Address - Country:US
Practice Address - Phone:561-487-9260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31233183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist