MEDICARE: MR. ERIK PONTES CPHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	PT26590	MA

General Provider Information

NPI Number	:	1598569493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIK PONTES CPHT

Provider Business Mailing Address
First Line	:	1001 KINGS HWY
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02745-4902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 KINGS HWY
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02745-4902
Country	:	US
Telephone Number	:	508-998-0999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	04/02/2025

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Directions to “ MR. ERIK PONTES CPHT” Practice Location

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