Provider Demographics
NPI:1982062527
Name:ORU, EUGENE E
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:E
Last Name:ORU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12724 TIERRA MONJE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-4305
Mailing Address - Country:US
Mailing Address - Phone:301-222-3210
Mailing Address - Fax:
Practice Address - Street 1:12724 TIERRA MONJE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-4305
Practice Address - Country:US
Practice Address - Phone:301-222-3210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00008493183500000X
TX57860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist