Individual ProviderEric TateyamaPharmacistPharmacy Service ProvidersPractice Address10001 Commons St, Lone Tree, CO 80124-5547(303) 209-1852PECOS EnrollmentBased on the most recent information from CMS, provider Eric Tateyama does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:48 AM.Profile DetailsProvider ID1720683675Provider TypeIndividualFull NameTateyama, EricGenderMaleSole ProprietorNoEnumeration Date11/30/2020Last Updated11/30/2020Contact InformationPractice LocationPractice Address10001 Commons St, Lone Tree, CO 80124-5547Phone(303) 209-1852FaxUnlisted FaxMailing LocationMailing Address10001 Commons St, Lone Tree, CO 80124-5547PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense22677Colorado