MEDICARE: MR. ROBERT CHURCH RPH

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	183500000X	Pharmacist	RPH26730	CA

General Provider Information

NPI Number	:	1255743514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT CHURCH RPH

Provider Business Mailing Address
First Line	:	2325 MYERS ST
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-5476
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2325 MYERS ST
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-5476
Country	:	US
Telephone Number	:	530-533-6876
Fax Number	:

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

Provider Enumeration Date	:	05/21/2014
Last Update Date	:	03/15/2026

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