Healthcare Provider Details

I. General information

NPI: 1205826211
Provider Name (Legal Business Name): ROBERT JOSEPH WEBER PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 01/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W 10TH AVE 368 DOAN HALL
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

4289 BIRNAM CT
COLUMBUS OH
43221-4939
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-4717
  • Fax:
Mailing address:
  • Phone: 614-935-9978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03213952
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: