Healthcare Provider Details

I. General information

NPI: 1679534051
Provider Name (Legal Business Name): ROBERT EDWARD HOBBS JR. RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 COMMONWEALTH BLVD W
MARTINSVILLE VA
24112-1800
US

IV. Provider business mailing address

843 ODELL RD
RIDGEWAY VA
24148-4092
US

V. Phone/Fax

Practice location:
  • Phone: 276-666-3014
  • Fax: 276-666-1814
Mailing address:
  • Phone: 276-666-3014
  • Fax: 276-666-1814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202004968
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: