Provider Demographics
NPI:1952950784
Name:ROMERO, ERICK ALONSO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERICK
Middle Name:ALONSO
Last Name:ROMERO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 KINGMAN DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-1424
Mailing Address - Country:US
Mailing Address - Phone:915-999-9091
Mailing Address - Fax:
Practice Address - Street 1:1210 WEDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7629
Practice Address - Country:US
Practice Address - Phone:915-591-9496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65620183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist