MEDICARE: DR. ROBERT KELLY STRICKLIN PHARMD

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	14393	AL

General Provider Information

NPI Number	:	1750668042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT KELLY STRICKLIN PHARMD

Provider Business Mailing Address
First Line	:	1400 GUNTER AVE
Second Line	:
City	:	GUNTERSVILLE
State	:	AL
Zip	:	35976-1846
Country	:	US
Telephone Number	:	256-582-2513
Fax Number	:	256-582-2985

Provider Business Practice Location Address
First Line	:	1400 GUNTER AVE
Second Line	:
City	:	GUNTERSVILLE
State	:	AL
Zip	:	35976-1846
Country	:	US
Telephone Number	:	256-582-2513
Fax Number	:	256-582-2985

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

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	11/15/2011

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