Provider Demographics
NPI:1841455292
Name:GUEI, EUGENE (PHARM D)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:
Last Name:GUEI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018-2 VITA LANE
Mailing Address - Street 2:PO BOX 2098
Mailing Address - City:CROWNPOINT
Mailing Address - State:NM
Mailing Address - Zip Code:87313-2098
Mailing Address - Country:US
Mailing Address - Phone:505-786-6344
Mailing Address - Fax:505-786-6440
Practice Address - Street 1:2000 HIGHWAY 371
Practice Address - Street 2:
Practice Address - City:CROWNPOINT
Practice Address - State:NM
Practice Address - Zip Code:87313-2098
Practice Address - Country:US
Practice Address - Phone:505-786-6344
Practice Address - Fax:505-786-6440
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist