Healthcare Provider Details

I. General information

NPI: 1033153283
Provider Name (Legal Business Name): ROBERT HOPE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3964 HAMILTON SQUARE BLVD
GROVEPORT OH
43125-9119
US

IV. Provider business mailing address

6505 GLASS DR
WESTERVILLE OH
43081-8220
US

V. Phone/Fax

Practice location:
  • Phone: 614-834-6863
  • Fax:
Mailing address:
  • Phone: 614-775-0061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-2-19813
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: