Healthcare Provider Details

I. General information

NPI: 1376525691
Provider Name (Legal Business Name): ROBERT P SHREWSBURY B.S., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DURHAM REGIONAL HOSPITAL 3643 N. ROXBORO ST.
DURHAM NC
27704
US

IV. Provider business mailing address

507 HIGHLAND TRL
CHAPEL HILL NC
27516-8634
US

V. Phone/Fax

Practice location:
  • Phone: 919-470-4168
  • Fax:
Mailing address:
  • Phone: 919-967-3076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17142
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: