MEDICARE: ROBERT JOSEPH MCLAUGHLIN JR. 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	8453	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8453	OTHER	NC	NC BOARD OF PHARMACY LIC.

General Provider Information

NPI Number	:	1952463812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JOSEPH MCLAUGHLIN JR. RPH

Provider Business Mailing Address
First Line	:	2117 S GLENBURNIE RD
Second Line	:	SUITE 1
City	:	NEW BERN
State	:	NC
Zip	:	28562-2239
Country	:	US
Telephone Number	:	252-636-1711
Fax Number	:	252-636-2615

Provider Business Practice Location Address
First Line	:	2117 S GLENBURNIE RD
Second Line	:	SUITE 1
City	:	NEW BERN
State	:	NC
Zip	:	28562-2239
Country	:	US
Telephone Number	:	252-636-1711
Fax Number	:	252-636-2615

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

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	07/08/2007

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