Provider Demographics
NPI:1831345388
Name:OYEN, ERIC WILLIAM (RPH)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:WILLIAM
Last Name:OYEN
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 1:3709 N. TAMIAMI TRAIL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-5359
Mailing Address - Country:US
Mailing Address - Phone:941-355-4155
Mailing Address - Fax:941-355-3780
Practice Address - Street 1:3709 N TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-5359
Practice Address - Country:US
Practice Address - Phone:941-355-4155
Practice Address - Fax:941-355-3780
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 0016069183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist