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NPI Code Detail

MEDICARE: MR. ROBERT S PERRY RPH

MEDICARE:  MR. ROBERT S PERRY  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
1183500000XPharmacist3347SC

General Provider Information

NPI Number : 1881944098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT S PERRY RPH
Provider Business Mailing Address
First Line : 1207 WEST MAIN ST
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-2614
Country : US
Telephone Number : 803-359-2587
Fax Number : 803-359-2587
Provider Business Practice Location Address
First Line : 1207 WEST MAIN ST
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-2614
Country : US
Telephone Number : 803-359-2587
Fax Number : 803-359-2587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2012
Last Update Date : 09/14/2012

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Directions to “ MR. ROBERT S PERRY RPH” Practice Location

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